FORM 1023-EZ for ANIAHS HEART

Field Data
EIN 85-2021046
Case Number EO-2021026-000096
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANIAHS HEART
Organization’s Mailing Address 801 CARR AVENUE
City HOMEWOOD
State AL
ZIP 35209
Accounting period End 12
Primary contact name ORA JERALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ORA JERALD
PRESIDENT
1808 6TH STREET NW
BIRMINGHAM AL 35215

Officer/Director/Trustee Two

HALEY TENBARGE
SECRETARY
649 BINVILLE LANE
BIRMINGHAM AL 35213

Officer/Director/Trustee Three

JUDY FULLER
TREASURER
6606 HUNTER CIRCLE
BIRMINGHAM AL 35173

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 No
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 ORA JERALD
Signature Title PRESIDENT
Signature Date 12/7/2020

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