FORM 1023-EZ for I HEART HEALTH

Field Data
EIN 83-1774718
Case Number EO-2018250-000539
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I HEART HEALTH
Organization’s Mailing Address 601 L STREET SUITE 118
City WASHINGTON
State DC
ZIP 20003
Accounting period End 12
Primary contact name ALFONSINE MOFOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AKONDI MBA
DIRECTOR OF PR
26 CROSSWOOD CT
BURTONSVILLE MD 20866

Officer/Director/Trustee Two

LILIANE ABONGWA
CHIEF FINANCIAL OFFICER
19162 IVANHOE DR NW
ELK RIVER MN 55330

Officer/Director/Trustee Three

NGETCHA MOFOR
HEALTH & WELLNESS COORDINATOR
11307 ROBINSON DRIVE APT 304
COON RAPIDS MN 55433

Officer/Director/Trustee Four

ALFONSINE MOFOR
COO
601 L STREET SE 118
WASHINGTON DC 20003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/18
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 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 ALFONSINE MOFOR
Signature Title COO
Signature Date 9/5/18

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