FORM 1023-EZ for HEARTSYNC COLORADO

Field Data
EIN 83-1460791
Case Number EO-2019043-000049
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTSYNC COLORADO
Organization’s Mailing Address 6655 WEST JEWELL AVE SUITE 111
City LAKEWOOD
State CO
ZIP 80232
Accounting period End 12
Primary contact name ELIZABETH KINKEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH KINKEAD
CO-CHAIR OF THE BOARD
6655 W JEWELL AVE SUITE 111
LAKEWOOD CO 80232

Officer/Director/Trustee Two

REBECCA GRAF
CHAIRWOMAN OF THE BOARD, TREASURER
756 S OWENS COURT
LAKEWOOD CO 80226

Officer/Director/Trustee Three

JAYNEE HODGKINS
BOARD MEMBER, SECRETARY
2199 TEE BOX COURT
CASTLE ROCK CO 80109

Officer/Director/Trustee Four

TERRI PARZYOCK
BOARD MEMBER
16385 W BAYAUD DRIVE
GOLDEN CO 80401

Officer/Director/Trustee Five

WILLIAM BRADLEY SIMSON
BOARD MEMBER
8740 STARWOOD LANE
PARKER CO 80134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 ELIZABETH KINKEAD
Signature Title CO-CHAIR OF THE BOARD
Signature Date 2/10/19

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