FORM 1023-EZ for KEYS OF THE HEART INCORPORATED

Field Data
EIN 81-1850480
Case Number EO-2016119-000401
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEYS OF THE HEART INCORPORATED
Organization’s Mailing Address PO BOX 30691
City ELMONT
State NY
ZIP 11003-3602
Accounting period End 3
Primary contact name RACHALIE BARTHELEMY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RACHALIE BARTHELEMY
CHIEF EXECUTIVE OFFICER
52 AMETHYST STREET
ELMONT NY 11003-3602

Officer/Director/Trustee Two

SAMENTHA REGNIER
CHIEF VICE CHAIR
52 AMETHYST STREET
ELMONT NY 11003-3602

Officer/Director/Trustee Three

ORLA LISSADE
TREASURER
52 AMETHYST STREET
ELMONT NY 11003-3602

Officer/Director/Trustee Four

ROCANNE REGNIER
TREASURER
52 AMETHYST STREET
ELMONT NY 11003-3602

Officer/Director/Trustee Five

NAKITA MORTIMER
SECRETARY
52 AMETHYST STREET
ELMONT NY 11003-3602

Organization’s website HTTP://KOTHI.ORG
Organization’s email KOTHI024@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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
Signature Title
Signature Date

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