FORM 1023-EZ for A WORK OF HEART INC

Field Data
EIN 82-1458197
Case Number EO-2017131-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A WORK OF HEART INC
Organization’s Mailing Address 2403 PINEHURST DR
City MONROE
State LA
ZIP 71201
Accounting period End 12
Primary contact name JAY CUTHBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF JOYCE
DIRECTOR
1405 EMERSON
MONROE LA 71201

Officer/Director/Trustee Two

MELANIE KING
DIRECTOR
2204 JUSTICE ST SUITE E
MONROE LA 71201

Officer/Director/Trustee Three

ASHLEY HERRING
DIRECTOR
1305 AUBRUN
MONROE LA 71201

Officer/Director/Trustee Four

LONNIE MENZINA
DIRECTOR
1005 ALDRIDGGE CIRCLE
RUSTON LA 71270

Officer/Director/Trustee Five

OLIVIA CUTHBERT
EX DIRECTOR
2403 PINEHURST
MONROE LA 71201

Organization’s website
Organization’s email OCUTHBERT20@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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
Signature Title
Signature Date

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