FORM 1023-EZ for FOOTPRINTS ON MY HEART

Field Data
EIN 84-1952826
Case Number EO-2019156-000290
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOOTPRINTS ON MY HEART
Organization’s Mailing Address 3674 EAST LAZY RIVER DR
City DUNNELLON
State FL
ZIP 34434-4787
Accounting period End 12
Primary contact name RAYNNA HAMMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYNNA HAMMON
FOUNDER/PREIDENT
3674 E LAZY RIVER DR
DUNNELLON FL 34434-4787

Officer/Director/Trustee Two

JESSICA MOORE
VICE PRESIDENT
3674 E LAZY RIVER DR
DUNNELLON FL 34434-4787

Officer/Director/Trustee Three

MARISSA WATSON
BOARD CHAIR
9746 N NEST PT
DUNNELLON FL 34434-4787

Officer/Director/Trustee Four

JAONNA BROWN
SECRETARY
4425 W HILLSDALE LN
INVERNESS FL 34452-9057

Officer/Director/Trustee Five

ERIN FREDIEU
TREASURER
20187 SW 59TH LN
DUNNELLON FL 34431-4625

Organization’s website FOOTPRINTSONMYHEART.ORG
Organization’s email FOOTPRINTSONMYHEARTFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 RAYNNA HAMMON
Signature Title FOUNDER/PREIDENT
Signature Date 6/3/19

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