FORM 1023-EZ for OUR HEALTH IN COMMUNITIES AND NEIGHBORHOODS INC

Field Data
EIN 82-3666508
Case Number EO-2018211-000271
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR HEALTH IN COMMUNITIES AND NEIGHBORHOODS INC
Organization’s Mailing Address 80 JESSE HILL JR DRIVE SE ROOM 3J02
City ATLANTA
State GA
ZIP 30303
Accounting period End 12
Primary contact name CHARLES MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES MOORE
PRESIDENT/DIRECTOR
80 JESSE HILL JR DRIVE SE ROOM 3J02
ATLANTA GA 30303

Officer/Director/Trustee Two

HOPE BUSSENIUS
TREASURER/DIRECTOR
80 JESSE HILL JR DRIVE SE ROOM 3J02
ATLANTA GA 30303

Officer/Director/Trustee Three

DAVID REZNIK
SECRETARY/DIRECTOR
80 JESSE HILL JR DRIVE SE ROOM 3J02
ATLANTA GA 30303

Organization’s website
Organization’s email HEALOURCOMMUNITIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E02 - Management & Technical Assistance
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 CHARLES MOORE
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/26/18

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