FORM 1023-EZ for UNITED HEARTS COMMUNITY OUTREACH INC

Field Data
EIN 82-5486681
Case Number EO-2018145-000562
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED HEARTS COMMUNITY OUTREACH INC
Organization’s Mailing Address PO BOX 6831
City WARNER ROBINS
State GA
ZIP 31095
Accounting period End 10
Primary contact name SHALANDA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHALANDA CLARK
DIRECTOR
721 WILMINGTON DR
WARNER ROBINS GA 31088

Officer/Director/Trustee Two

OMON CLARK
OFFICER
721 WILMINGTON DR
WARNER ROBINS GA 31088

Officer/Director/Trustee Three

SHERRIE RUFFIN
TRUSTEE
PO BOX 252
LENA MS 39094

Organization’s website
Organization’s email UNITEDHEARTSCO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 SHALANDA CLARK
Signature Title DIRECTOR
Signature Date 5/23/18

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