FORM 1023-EZ for ANGELZ HEART

Field Data
EIN 83-0788274
Case Number EO-2018179-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGELZ HEART
Organization’s Mailing Address 6574 N STATE RD 7 UNIT 267
City COCONUT CREEK
State FL
ZIP 33073
Accounting period End 12
Primary contact name SHIRLEY PUBIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY PUBIEN
PRESIDENT
6574 N STATE RD 7 UNIT 267
COCONUT CREEK FL 33073

Officer/Director/Trustee Two

PIERRE SINOIS
SECRETARY
6574 N STATE RD 7 UNIT 267
COCONUT CREEK FL 33073

Officer/Director/Trustee Three

REGINA JACKSON
TREASURER
6574 N STATE RD 7 UNIT 267
COCONUT CREEK FL 33073

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 SHIRLEY PUBIEN
Signature Title PRESIDENT
Signature Date 6/26/18

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