FORM 1023-EZ for MENDING HEARTS INC

Field Data
EIN 32-0468601
Case Number EO-2016054-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MENDING HEARTS INC
Organization’s Mailing Address PO BOX 774
City ROCKMART
State GA
ZIP 30153
Accounting period End 3
Primary contact name GARY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRANDY SMITH
PRESIDENT
24 JESTER WAY
ROCKMART GA 30153

Officer/Director/Trustee Two

LORI PIGOTT
TREASURER
302 MCPHERSON PKWY
DALLAS GA 30153

Officer/Director/Trustee Three

HEATHER MANNING
VICE PRESIDENT
137 EDWARD DR
TEMPLE GA 30179

Officer/Director/Trustee Four

GARY SMITH
SECRETARY
24 JESTER WAY
ROCKMART GA 30153

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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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