FORM 1023-EZ for 15 HANDS & HEARTS INC

Field Data
EIN 84-4680671
Case Number EO-2020055-000760
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 15 HANDS & HEARTS INC
Organization’s Mailing Address 8380 N FLEMING DR
City FLAGSTAFF
State AZ
ZIP 86004-6247
Accounting period End 12
Primary contact name PATRICIA NEW-JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA NEW-JENKINS
PRESIDENT TREASURER
8380 N FLEMING DR
FLAGSTAFF AZ 86004-6247

Officer/Director/Trustee Two

KATHY MCCRAY
SECRETARY
3235 SHONTO TRAIL
FLAGSTAFF AZ 86005-3543

Officer/Director/Trustee Three

AMY PHILLIPS
DIRECTOR
2401 W RT 66 LOT 14
FLAGSTAFF AZ 86001-8762

Organization’s website
Organization’s email 15HANDSANDHEARTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 Yes
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 PATRICIA NEW-JENKINS
Signature Title PRESIDENT TREASURER
Signature Date 2/21/2020

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