FORM 1023-EZ for WHOLE HEART GRIEF AND LOSS RESOURCECENTER INC

Field Data
EIN 46-1789083
Case Number EO-2016071-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHOLE HEART GRIEF AND LOSS RESOURCECENTER INC
Organization’s Mailing Address 110 W SOUTH ST PO BOX 3500
City FREDERICK
State MD
ZIP 21701
Accounting period End 12
Primary contact name DENISE ROLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENISE ROLLINS
EXECUTIVE DIRECTOR
440 MOHICAN DR
FREDERICK MD 21701

Officer/Director/Trustee Two

KIM CASH TATE
BOARD CHAIR
7433 CROMWELL DR
CLAYTON MO 63105

Officer/Director/Trustee Three

APRIL LEE
BOARD MEMBER
6410 MERCANTILE DR E 204
FREDERICK MD 21703

Officer/Director/Trustee Four

WILLIAM HALL
TREASURER
1036 DULANEY MILL DR
FREDERICK MD 21702

Officer/Director/Trustee Five

WANDA RUFFIN
SECRETARY
20805 SPINNING WHEEL PL
GERMANTOWN MD 20874

Organization’s website WWW.WHOLEHEARTCARE.ORG
Organization’s email SUPPORT@WHOLEHEARTCARE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2013
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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
Signature Title
Signature Date

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