FORM 1023-EZ for RACHELS HEART FOUNDATION

Field Data
EIN 47-5103049
Case Number EO-2016057-000041
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RACHELS HEART FOUNDATION
Organization’s Mailing Address 1914 WEST 35TH PLACE
City LOS ANGELES
State CA
ZIP 90018
Accounting period End 12
Primary contact name RACHEL SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENNETT SCOTT
CEO
1914 WEST 35TH PLACE
LOS ANGELES CA 90018

Officer/Director/Trustee Two

RACHEL SCOTT
SECRETARY
1914 WEST 35TH PLACE
LOS ANGELES CA 90018

Officer/Director/Trustee Three

RACHEL SCOTT
TREASURER
1914 WEST 35TH PLACE
LOS ANGELES CA 90018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K19 - Nonmonetary Support N.E.C.
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
Signature Title
Signature Date

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