FORM 1023-EZ for HEARTLAND HELPING HANDS

Field Data
EIN 47-2390891
Case Number EO-2014338-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTLAND HELPING HANDS
Organization’s Mailing Address 2136 W CHESTERFIELD BLVD SUITE D202
City SPRINGFIELD
State MO
ZIP 65807
Accounting period End 12
Primary contact name EILEEN PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EILEEN PERRY
PRESIDENT
1369 W CANTOR PLACE DR
NIXA MO 65714

Officer/Director/Trustee Two

GEORGE MASON
VICE PRESIDENT
2723 W LATOKA AVE
SPRINGFIELD MO 65807

Officer/Director/Trustee Three

LANITA PETZOLD
SECRETARY/TREASURER
2611 E ELM
SPRINGFIELD MO 65804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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