FORM 1023-EZ for JASONS HEART INC

Field Data
EIN 85-4339747
Case Number EO-2021078-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JASONS HEART INC
Organization’s Mailing Address 770 N COTNER BLVD SUITE 410
City LINCOLN
State NE
ZIP 68505
Accounting period End 12
Primary contact name BRAD EWERTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON LEVINE
PRESIDENT/DIRECTOR
770 N COTNER BLVD SUITE 410
LINCOLN NE 68505

Officer/Director/Trustee Two

MICHAELA TUTTLE
TREASURER/SECRETARY/DIRECTOR
770 N COTNER BLVD SUITE 410
LINCOLN NE 68505

Officer/Director/Trustee Three

THOMAS NIELSEN
DIRECTOR/CEO
770 N COTNER BLVD SUITE 410
LINCOLN NE 68505

Organization’s website WWW.JASONSHEART.ORG
Organization’s email TOM.NIELSEN@SOARINGROUP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T19 - Nonmonetary Support N.E.C.
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 Yes
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 THOMAS NIELSEN
Signature Title DIRECTOR/CEO
Signature Date 1/25/2021

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