FORM 1023-EZ for I HEART SENIORS INC

Field Data
EIN 81-1095960
Case Number EO-2016196-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I HEART SENIORS INC
Organization’s Mailing Address 518 SOUTH PAYNE STREET
City ALEXANDRIA
State VA
ZIP 22314
Accounting period End 12
Primary contact name KIYAH TYLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIYAH TYLER
PRESIDENT
518 SOUTH PAYNE STREET
ALEXANDRIA VA 22314

Officer/Director/Trustee Two

ANGELA HUTCHINS
GRANT PROPOSAL
10603 MELWOOD CHAPEL LANE
UPPER MARLBORO MD 20772

Officer/Director/Trustee Three

LINETTE ROBINSON
TREASURER
2748 TRED AVON COURT
WALDORF MD 20601

Officer/Director/Trustee Four

MARKEYA JONES
MARKETING
7600 MAPLE AVENUE APT 1812
TAKOMA MD 20901

Officer/Director/Trustee Five

ESSENCE MOORE
SECRETARY
1005 SUMMERGLEN COURT
BOWIE MD 20721

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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
Signature Title
Signature Date

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