FORM 1023-EZ for HEALING HOMES INC

Field Data
EIN 86-3225298
Case Number EO-2021118-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING HOMES INC
Organization’s Mailing Address 20900 W HAMILTON ST
City BUCKEYE
State AZ
ZIP 85396
Accounting period End 12
Primary contact name LEVI S HATCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAMERAN SCHAFFNER
PRESIDENT
20900 W HAMILTON ST
BUCKEYE AZ 85396

Officer/Director/Trustee Two

HARLEY LUGO
SECRETARY
20900 W HAMILTON ST
BUCKEYE AZ 85396

Officer/Director/Trustee Three

MICHAEL FERNANDEZ
DIRECTOR
20900 W HAMILTON ST
BUCKEYE AZ 85396

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 KAMERAN SCHAFFNER
Signature Title PRESIDENT
Signature Date 4/26/2021

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