FORM 1023-EZ for HEARTS FOR SIGHT FOUNDATION

Field Data
EIN 81-2457848
Case Number EO-2016274-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTS FOR SIGHT FOUNDATION
Organization’s Mailing Address 13741 OXNARD ST NO 9
City VAN NUYS
State CA
ZIP 91401
Accounting period End 12
Primary contact name WILLIAM RAMSEYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH BURTON
PRESIDENT/DIRECTOR
13741 OXNARD ST NO 9
VAN NUYS CA 91401

Officer/Director/Trustee Two

RACQUEL DECIPEDA
SECRETARY/DIRECTOR
13741 OXNARD ST NO 9
VAN NUYS CA 91401

Officer/Director/Trustee Three

JOSE DIMAS
TREASURER/DIRECTOR
13741 OXNARD ST NO 9
VAN NUYS CA 91401

Officer/Director/Trustee Four

SHEILA BIGLAG-AWA
DIRECTOR
13741 OXNARD ST NO 9
VAN NUYS CA 91401

Officer/Director/Trustee Five

JORGE MARQUEZ
DIRECTOR
13741 OXNARD ST NO 9
VAN NUYS CA 91401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P86 - Blind/Visually Impaired Centers, Services
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 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 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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