FORM 1023-EZ for WORKING HEARTS

Field Data
EIN 47-5195983
Case Number EO-2015279-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WORKING HEARTS
Organization’s Mailing Address PO BOX 876246
City WASILLA
State AK
ZIP 99687
Accounting period End 12
Primary contact name RAY MUETZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAYMOND MUETZ
CHAIRMAN
1550 DOUBLE B STREET
PALMER AK 99645

Officer/Director/Trustee Two

MITCHELL FAIRWEATHER
VICE CHAIRMAN
1302 A MCGRATH ROAD
FAIRBANKS AK 99712

Organization’s website N/A
Organization’s email RMUETZ@MTAONLINE.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2015
Organization Incorporation State AK
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: 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 Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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