FORM 1023-EZ for HEALTHY HEART COALITION

Field Data
EIN 83-0843756
Case Number EO-2018347-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHY HEART COALITION
Organization’s Mailing Address 1860 WINDING CROSSING TRAIL
City FAIRBURN
State GA
ZIP 30213
Accounting period End 12
Primary contact name CORNELIA KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORNELIA KING
CEO
1860 WINDING CROSSING TRAIL
FAIRBURN GA 30213

Officer/Director/Trustee Two

CHARICE HOLT
PROGRAM MANAGER
1272 LYNHURST DRIVE
ATLANTA GA 30311

Officer/Director/Trustee Three

SHAYLA KING
CHIEF ADMINISTRATIVE OFFICER
10900 SW 104TH STREET APT 324
MIAMI FL 33176

Officer/Director/Trustee Four

IHAB HAJJAR
CHIEF FINANCIAL OFFICER
12 EXECUTIVE PARK
ATLANTA GA 30329

Officer/Director/Trustee Five

SEAN KING
CHIEF OPERATIONS OFFICER
1860 WINDING CROSSING TRAIL
FAIRBURN GA 30213

Organization’s website
Organization’s email CORNELKI8@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 CORNELIA KING
Signature Title CEO
Signature Date 12/11/18

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