FORM 1023-EZ for HEY- HEALTHY EXCITED YOUTH

Field Data
EIN 81-3895353
Case Number EO-2020111-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEY- HEALTHY EXCITED YOUTH
Organization’s Mailing Address 85 BAGATELLE RD
City MELVILLE
State NY
ZIP 11747
Accounting period End 5
Primary contact name MICHELLE PIERROT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE PIERROT
CHAIR
85 BAGATELLE RD
MELVILLE NY 11747

Officer/Director/Trustee Two

GREG ETIENNE
COCHAIR
1031 EUCLID ST NW
WASHINGTON DC 20001

Officer/Director/Trustee Three

BRANDON OCONNOR
TREASURER
1100 CHURCH ST APT 103
EVANSTON NY 60201

Officer/Director/Trustee Four

ALISHA ALABRE
SECRETARY
626 LEHMAN ST APT 233
COLUMBUS OH 43206

Organization’s website WWW.HEALTHYEXCITEDYOUTH.ORG
Organization’s email INFO@HEALTHYEXCITEDYOUTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2016
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Donation of funds No
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 MICHELLE PIERROT
Signature Title CHAIR
Signature Date 4/16/2020

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