FORM 1023-EZ for HEROES & HEART

Field Data
EIN 86-2963350
Case Number EO-2021102-000839
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEROES & HEART
Organization’s Mailing Address 1951 STELLA LAKE STREET SUITE 26
City LAS VAGAS
State NV
ZIP 89106
Accounting period End 12
Primary contact name RACQUEL WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH BOUMAH
PRESIDENT
5969 JASPER RIDGE ST
LAS VAGAS NV 89130

Officer/Director/Trustee Two

RHEA WATSON
TREASURER
5969 JASPER RIDGE ST
LAS VAGAS NV 89130

Officer/Director/Trustee Three

CYNTHIA WATSON
SECRETARY
5969 JASPER RIDGE ST
LAS VAGAS NV 89130

Officer/Director/Trustee Four

RACQUEL WATSON
EXECUTIVE DIRECTOR
5969 JASPER RIDGE ST
:LAS VAGAS NV 89130

Officer/Director/Trustee Five

JUSTYN BOUMAH
CEO
5969 JASPER RIDGE ST
LAS VAGAS NV 89130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2021
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 RACQUEL WATSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/2/2021

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