FORM 1023-EZ for BLESS YOUR HEART SQUAD INC

Field Data
EIN 85-1265925
Case Number EO-2021095-000525
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESS YOUR HEART SQUAD INC
Organization’s Mailing Address 1166 WAGNER AVENUE
City PHILADELPHIA
State PA
ZIP 19141
Accounting period End 12
Primary contact name S ELISE KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

S ELISE KING
PRESIDENT
1166 WAGNER AVENUE
PHILADELPHIA PA 19141-2930

Officer/Director/Trustee Two

BRIANA GRIFFIN
VICE PRESIDENT
1166 WAGNER AVENUE
PHILADELPHIA PA 19141-2930

Officer/Director/Trustee Three

ARLENE ROBERTSON
TREASURER
1166 WAGNER AVENUE
PHILADELPHIA PA 19141-2930

Officer/Director/Trustee Four

MALIYAH ROBERTSON
SECRETARY
1166 WAGNER AVENUE
PHILADELPHIA PA 19141-2930

Officer/Director/Trustee Five

ADRIAN LYNCH
BOARD MEMBER
1166 WAGNER AVENUE
PHILADELPHIA PA 19141-2930

Organization’s website
Organization’s email BYHSQUAD20@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 S ELISE KING
Signature Title PRESIDENT
Signature Date 3/5/2021

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