FORM 1023-EZ for CJS TRAVELING HEART FOUNDATION

Field Data
EIN 84-4245949
Case Number EO-2020013-000449
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CJS TRAVELING HEART FOUNDATION
Organization’s Mailing Address 10395 NOONTIDE AVE
City LAS VEGAS
State NV
ZIP 89135
Accounting period End 12
Primary contact name PIPER FORGIONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PIPER FORGIONE
PRESIDENT
10395 NOONTIDE AVE
LAS VEGAS NV 89135

Officer/Director/Trustee Two

BRYAN FORGIONE
DIRECTOR
10395 NOONTIDE AVE
LAS VEGAS NV 89135

Organization’s website CJSTRAVELINGHEART.COM
Organization’s email CJSTRAVELINGHEART@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 PIPER FORGIONE
Signature Title PRESIDENT
Signature Date 1/10/2020

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