FORM 1023-EZ for TYLERS HEART INC

Field Data
EIN 84-5142427
Case Number EO-2021127-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TYLERS HEART INC
Organization’s Mailing Address 44 MOLASSES HILL ROAD
City BROOKFIELD
State MA
ZIP 01506
Accounting period End 12
Primary contact name JOANNE CANCELMO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALYSIA KUBERT
PRESIDENT TREASURER
44 MOLASSES HILL ROAD
BROOKFIELD MA 01506

Officer/Director/Trustee Two

ELISSA BOOS
VP SECRETARY
10 WHEELER RD
WEST BROOKFIELD MA 01585

Officer/Director/Trustee Three

ROBERT KUBERT JR
DIRECTOR
44 MOLASSES HILL ROAD
BROOKFIELD MA 01506

Officer/Director/Trustee Four

JAMES BOOS
DIRECTOR
10 WHEELER RD
WEST BROOKFIELD MA 01585

Officer/Director/Trustee Five

PAUL HAYNES JR
DIRECTOR
53 NORTH BROOKFIELD RD
SPENCER MA 01562

Organization’s website
Organization’s email TYLERSHEART2020@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELISSA BOOS
Signature Title VP SECRETARY
Signature Date 5/5/2021

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