FORM 1023-EZ for BLESSED HANDS BLESSED HEARTS

Field Data
EIN 82-1814238
Case Number EO-2017258-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLESSED HANDS BLESSED HEARTS
Organization’s Mailing Address 15418 E POND WOODS DRIVE
City TAMPA
State FL
ZIP 33618
Accounting period End 12
Primary contact name CHAMPAIGNE SPIVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAMPAIGNE SPIVEY
CEO/EXECUTIVE DIRECTOR
15418 E POND WOODS DRIVE
TAMPA FL 33618

Officer/Director/Trustee Two

RYAN STOCKER
SECRETARY/VICE PRESIDENT
15418 E POND WOODS DRIVE
TAMPA FL 33618

Officer/Director/Trustee Three

GENESIS STEWART
MEMBER
881 NEEDL ROCK DRIVE
STONE MOUNTAIN GA 30083

Organization’s website
Organization’s email BLESSEDHANDSBLESSEDHEARTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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