FORM 1023-EZ for THE HEART OF HIGH SPRINGS INC

Field Data
EIN 84-2638482
Case Number EO-2019227-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HEART OF HIGH SPRINGS INC
Organization’s Mailing Address 18976 NW 240TH ST
City HIGH SPRINGS
State FL
ZIP 32643
Accounting period End 12
Primary contact name NANCY LAVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE TUCKER
PRESIDENT/BOARD MEMBER
26346 NW 130 AVE
HIGH SPRINGS FL 32643

Officer/Director/Trustee Two

NANCY LAVIN
SECRETARY/TREASURER/BOARD MEMBER
18976 NW 240TH ST
HIGH SPRINGS FL 32643

Officer/Director/Trustee Three

KRISTINA YOUNG
BOARD MEMBER
23247 NW 199TH PL/APT 17
HIGH SPRINGS FL 32643

Officer/Director/Trustee Four

LEDA CARRERO
BOARD MEMBER
23109 NW 183RD LANE
HIGH SPRINGS FL 32643

Officer/Director/Trustee Five

ROSS AMBROSE
BOARD MEMBER
PO BOX 907
HIGH SPRINGS FL 32643

Organization’s website
Organization’s email THEHEARTOFHIGHSPRINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 NANCY LAVIN
Signature Title SECRETARY/TREASURER/BOARD MEMBER
Signature Date 8/13/19

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