FORM 1023-EZ for HEART 2 HEART GROUP HOMES INC

Field Data
EIN 83-0742138
Case Number EO-2018222-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART 2 HEART GROUP HOMES INC
Organization’s Mailing Address 411 THOMAS CIRCLE NE
City MASSILLON
State OH
ZIP 44646
Accounting period End 12
Primary contact name KATELYN HEINTZELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATELYN HEINTZELMAN
PRESIDENT
411 THOMAS CIRCLE NE
MASSILLON OH 44646

Officer/Director/Trustee Two

GREGORY HEINTZELMAN
BOARD MEMBER
411 THOMAS CIRCLE NE
MASSILLON OH 44646

Officer/Director/Trustee Three

SUE BERTAGNOLLI
BOARD MEMBER
411 THOMAS CIRCLE NE
MASSILLON OH 44646

Officer/Director/Trustee Four

PENNY ANDERSON
BOARD MEMBER
2541 BORDNER AVENUE
CANTON OH 44706

Officer/Director/Trustee Five

ROBERT ANDERSON
BOARD MEMBER
2541 BORDNER AVENUE
CANTON OH 44706

Organization’s website
Organization’s email H2HDODD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 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 KATELYN HEINTZELMAN
Signature Title PRESIDENT
Signature Date 8/8/18

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