FORM 1023-EZ for HEROES INTERNATIONAL

Field Data
EIN 47-4612970
Case Number EO-2016322-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEROES INTERNATIONAL
Organization’s Mailing Address 7017 SELBY ROAD
City ATHENS
State OH
ZIP 45701
Accounting period End 12
Primary contact name GREGORY MONTELLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY MONTELLA
TRUSTEE/PRESIDENT
7017 SELBY ROAD
ATHENS OH 45701

Officer/Director/Trustee Two

MALCUS RICHARDS
TRUSTEE
115 N NORMANDIE AVE
LOS ANGELES CA 90004

Officer/Director/Trustee Three

DACE BUTLER
TRUSTEE
6352 CONFEDERATE DRIVE
PENSACOLA FL 32503

Organization’s website WWW.HEROESINTERNATIONAL.ORG
Organization’s email INFO@HEROESINTERNATIONAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2011
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
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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