FORM 1023-EZ for HEALTHY FAMILIES INITIATIVE

Field Data
EIN 46-4992487
Case Number EO-2014356-000511
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALTHY FAMILIES INITIATIVE
Organization’s Mailing Address PO BOX 8495
City WARWICK
State RI
ZIP 02888-0597
Accounting period End 6
Primary contact name KATHLEEN TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOGAHED IBRAHIM
PRESIDENT
15 DOWNING STREET
EAST GREENWICH RI 02818-2223

Officer/Director/Trustee Two

SAMAN KHALID
TREASURER
163 BUTLER AVE - APT 1
PROVIDENCE RI 02906-5308

Officer/Director/Trustee Three

DONNA COLEMAN
VICE PRESIDENT
278 PLAIN STREET
PROVIDENCE RI 02905-3231

Officer/Director/Trustee Four

CARMEN RECALDE-RUSSO
SECRETARY
158 RUSHMORE AVENUE
PROVIDENCE RI 02909-4936

Officer/Director/Trustee Five

KATHLEEN TAYLOR
EXECUTIVE DIRECTOR
205 PAWTUXET AVE
WARWICK RI 02888-1942

Organization’s website
Organization’s email RIHEALTHYFAMILIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2014
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: Yes
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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