FORM 1023-EZ for HEARTS AS ONE INC

Field Data
EIN 84-4622383
Case Number EO-2020041-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTS AS ONE INC
Organization’s Mailing Address 335 W 6TH
City BAXTER SPRINGS
State KS
ZIP 66713
Accounting period End 12
Primary contact name DEANDRA CROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANDRA CROSS
OFFICER
335 W 6TH
BAXTER SPRINGS KS 66713

Officer/Director/Trustee Two

DANIEL CROSS
TRUSTEE
335 W 6TH
BAXTER SPRINGS KS 66713

Officer/Director/Trustee Three

ROBIN LEWIS
DIRECTOR
67551 EAST 50 RD
QUAPAW OK 74363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 DEANDRA CROSS
Signature Title OFFICER
Signature Date 2/6/2020

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