FORM 1023-EZ for MENDING HEARTS FAMILY COUNSELING CENTER INC

Field Data
EIN 83-2430568
Case Number EO-2019038-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDING HEARTS FAMILY COUNSELING CENTER INC
Organization’s Mailing Address 6371 HAVEN AVE STE 3 NO 156
City RANCHO CUCAMONGA
State CA
ZIP 91737
Accounting period End 12
Primary contact name DAWN HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN HAMILTON
CHAIRMAN OF THE BOARD / CEO
10757 LEMON AVE UNIT 838
RANCHO CUCAMONGA CA 91737

Officer/Director/Trustee Two

ROSEANNE GAEDE
TREASURER / CFO
215 E DEODAR
ONTARIO CA 91764

Officer/Director/Trustee Three

BROOKE BENDER
SECRETARY
211 W ATARA ST
MONROVIA CA 91016

Organization’s website MENDINGHEARTS.LOVE
Organization’s email WELCOME2@MENDINGHEARTS.LOVE
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 DAWN HAMILTON
Signature Title CHAIRMAN OF THE BOARD / CEO
Signature Date 1/29/19

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