FORM 1023-EZ for HEALTHY VILLAGE LEARNING INSTITUTEINC

Field Data
EIN 47-4959758
Case Number EO-2015272-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY VILLAGE LEARNING INSTITUTEINC
Organization’s Mailing Address 1102 FREEMONT ST
City MCKEESPORT
State PA
ZIP 15132
Accounting period End 12
Primary contact name KEITH MURPHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MAJOR MASON
PRESIDENT
1409 BAILEY AVE
MCKEESPORT PA 15132

Officer/Director/Trustee Two

TROY ALLEN
VICE PRESIDENT
13314 ARLINGFORD AVE
BATON ROUGE LA 70815

Officer/Director/Trustee Three

GINO BROGDON
TREASURER
174 WALTALL ST
ATLANTA GA 30316

Officer/Director/Trustee Four

ANTHONY MITCHELL
SECRETARY
105 BRADBERRY DR
MONROEVILLE PA 15146

Officer/Director/Trustee Five

MUSTAFA MUSA
DIRECTOR
1441 LOCUST ST
MCKEESPORT PA 15132

Organization’s website N/A
Organization’s email KMURPHY8084@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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