FORM 1023-EZ for OASIS HEALING INSTITUTE

Field Data
EIN 81-2185069
Case Number EO-2016228-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OASIS HEALING INSTITUTE
Organization’s Mailing Address 1618 NEBRASKA AVE
City PALM HARBOR
State FL
ZIP 34683-3643
Accounting period End 12
Primary contact name JAMES GOODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY GOODWIN
SECRETARY
634 GREEN VALLEY RD
PALM HARBOR FL 34683-5184

Officer/Director/Trustee Two

CHRIS WARREN
DIRECTOR
4546 HANOVER DR
MASON OH 45040-1838

Officer/Director/Trustee Three

JAMES GOODWIN
DIRECTOR
1618 NEBRASKA AVE
PALM HARBOR FL 34683-3643

Officer/Director/Trustee Four

JAMES VENTERS
DIRECTOR
1792 ROSEWOOD LN
MILFORD OH 45150-2626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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