FORM 1023-EZ for HEROES OF MEDICINE INC

Field Data
EIN 84-1770629
Case Number EO-2019143-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROES OF MEDICINE INC
Organization’s Mailing Address 2800 SW 35TH PLACE APT 2712
City GAINESVILLE
State FL
ZIP 32608
Accounting period End 12
Primary contact name ATTY NOUVELLE L GONZALO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCISCO LOURENCO
CO-DIRECTOR
2800 SW 35TH PLACE APT 2712
GAINESVILLE FL 32608

Officer/Director/Trustee Two

EMILY SULLIVAN
CO-DIRECTOR
2800 SW 35TH PLACE APT 2712
GAINESVILLE FL 32608

Officer/Director/Trustee Three

DANTE HAUGHTON
SECRETARY
2800 SW 35TH PLACE APT 2712
GAINESVILLE FL 32608

Officer/Director/Trustee Four

GABRIEL DANTZLER
CHAIR
2800 SW 35TH PLACE APT 2712
GAINESVILLE FL 32608

Officer/Director/Trustee Five

ANDREW WALKER
TREASURER
2800 SW 35TH PLACE APT 2712
GAINESVILLE FL 32608

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 FRANCISCO LOURENCO
Signature Title CO-DIRECTOR
Signature Date 5/21/19

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