FORM 1023-EZ for A HEART OF AN ANGEL INC

Field Data
EIN 82-4048541
Case Number EO-2018109-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HEART OF AN ANGEL INC
Organization’s Mailing Address 1375 CYPRESS POINT LANE
City VENTURA
State CA
ZIP 93003
Accounting period End 12
Primary contact name ANNETTE GARCIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE GARCIA
CHIEF EXECUTIVE OFFICER
1375 CYPRESS POINT LANE 202
VENTURA CA 93003

Officer/Director/Trustee Two

LEA KOZIN
CHIEF FINANCIAL OFFICER
17957 OAK LEAF LANE
YORBA LINDA CA 92886

Officer/Director/Trustee Three

NANCY WOODS
SECRETARY
6700 TELEPHONE ROAD 802
VENTURA CA 93003

Organization’s website AHEARTOFANANGEL.COM
Organization’s email ANNETTE@AHEARTOFANANGEL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
Organization’s purpose Charitable: No
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANNETTE GARCIA
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 4/12/18

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