FORM 1023-EZ for ELIJAH AND CHLOE ALLEN FOUNDATION -FOR HEARTS SAKE

Field Data
EIN 84-4230592
Case Number EO-2020118-000549
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELIJAH AND CHLOE ALLEN FOUNDATION -FOR HEARTS SAKE
Organization’s Mailing Address 10452 WHITE PRINCESS AVE
City LAS VEGAS
State NV
ZIP 89166
Accounting period End 12
Primary contact name KEONA ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEONA ALLEN
PRESIDENT/TREASURER
10452 WHITE PRINCESS AVE
LAS VEGAS NV 89166

Officer/Director/Trustee Two

AMERICOUS ALLEN
VICE PRESIDENT/SECRETARY
10452 WHITE PRINCESS AVE
LAS VEGAS NV 89166

Officer/Director/Trustee Three

SUSAN STACKHOUSE
BOARD MEMBER
7625 LANI DAWN STREET
LAS VEGAS NV 89149

Officer/Director/Trustee Four

RAMEISHA DAVIS
BOARD MEMBER
9731 IMPERIAL HWY APT B15
DOWNEY CA 90242

Officer/Director/Trustee Five

MICHAEL HOLMES
BOARDMEMBER
7820 SMOKERISE CT
LAS VEGAS NV 89131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 KEONA ALLEN
Signature Title PRESIDENT/TREASURER
Signature Date 4/25/2020

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