FORM 1023-EZ for HEART TO HEART FAMILY SERVICES INC

Field Data
EIN 82-3235888
Case Number EO-2019184-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART TO HEART FAMILY SERVICES INC
Organization’s Mailing Address 3360 CAMELOT WAY
City LOGANVILLE
State GA
ZIP 30052
Accounting period End 12
Primary contact name TRACEY BRUNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY BRUNER
PRESIDENT/EXEC DIRECTOR
3360 CAMELOT WAY
LOGANVILLE GA 30052

Officer/Director/Trustee Two

ASHLEY SMITH
SECRETARY
251 POPULAR AVE
SOCIAL CIRCLE GA 30025

Officer/Director/Trustee Three

JEFFREY FOSTER
DIRECTOR
302 N BROAD STREET
MONROE GA 30655

Officer/Director/Trustee Four

KATHY BARDEN
DIRECTOR
544 PEBBLE POINT DR
LOGANVILLE GA 30052

Officer/Director/Trustee Five

CHRIS TAYLOR
DIRECTOR
2435 AMBER HILLS DRIVE
MONROE GA 30655

Organization’s website WWW.HEART2HEARTFS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 TRACEY BRUNER
Signature Title PRESIDENT/EXEC DIRECTOR
Signature Date 7/1/19

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