FORM 1023-EZ for HEARTSONG COUNSELING INC

Field Data
EIN 82-4698197
Case Number EO-2019056-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTSONG COUNSELING INC
Organization’s Mailing Address 7802 N HARVARD AVE
City SPERRY
State OK
ZIP 74073
Accounting period End 12
Primary contact name BRIAN HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN HAYES
PRESIDENT
7802 N HARVARD AVE
SPERRY OK 74073

Officer/Director/Trustee Two

STEVEN GRINER
DIRECTOR
13413 E 106TH ST N
OWASSO OK 74055

Officer/Director/Trustee Three

PEGGY NEUMANN
DIRECTOR
8928 N 123RD E AVE
OWASSO OK 74055

Organization’s website WWW.HEARTSONGFOURLIFE.COM
Organization’s email MHAYES@REJOICECHURCH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 BRIAN HAYES
Signature Title PRESIDENT
Signature Date 2/21/19

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