FORM 1023-EZ for HETEROTAXY CONNECTION

Field Data
EIN 46-5498856
Case Number EO-2014240-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HETEROTAXY CONNECTION
Organization’s Mailing Address 9183 SOUTH JEFFERSON PLACE
City SANDY
State UM
ZIP 84070
Accounting period End 12
Primary contact name CURTIS G BENTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MEGAN MAHAJAN
DIRECTOR
9183 SOUTH JEFFERSON PLACE NO 5
SANDY UT 84070

Officer/Director/Trustee Two

CZARINA HOUNSEL
DIRECTOR
2932 N CAMINO LAGOS
GRAND PRAIRIE TX 75054

Officer/Director/Trustee Three

NECIA MUNRO
DIRECTOR
4928 MIDDAUGH AVENUE
DOWNERS GROVE IL 60515

Officer/Director/Trustee Four

HEATHER WILLIAMS
DIRECTOR
7625 66TH PL NE
MARYSVILLE WA 98270

Officer/Director/Trustee Five

TAMI PETERSON
DIRECTOR
1615 ERIE DR
HARLAN IA 51537

Organization’s website HTTP://WWW.HETEROTAXYCONNECTION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
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 Yes
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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