FORM 1023-EZ for HEALTHY HABITS COOK CLUB

Field Data
EIN 82-5431242
Case Number EO-2018165-000680
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY HABITS COOK CLUB
Organization’s Mailing Address 314 SPIREA DRIVE
City OAKWOOD
State OH
ZIP 45419
Accounting period End 12
Primary contact name CHRISTINE ROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE ROLL
PRESIDENT
314 SPIREA DRIVE
OAKWOOD OH 45419

Officer/Director/Trustee Two

DAVID HUGGINS
VICE PRESIDENT
2533 ROANOKE AVENUE
OAKWOO OH 45419

Officer/Director/Trustee Three

MARK ROLL
SECRETARY
314 SPIREA DRIVE
OAKWOOD OH 45419

Organization’s website WWW.HEALTHYHABITSCOOKCLUB.ORG
Organization’s email INFO@HEALTHYHABITSCOOKCLUB.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTINE ROLL
Signature Title PRESIDENT
Signature Date 6/12/18

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