FORM 1023-EZ for HEART MATTERS FOUNDATION

Field Data
EIN 47-3992854
Case Number EO-2016228-000448
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART MATTERS FOUNDATION
Organization’s Mailing Address 7502 CHANCELLOR WAY
City SPRINGFIELD
State VA
ZIP 22153-2340
Accounting period End 12
Primary contact name DIANE M SILL PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE M SILL
PRESIDENT
7502 CHANCELLOR WAY
SPRINGFIELD VA 22153-2340

Officer/Director/Trustee Two

DANIEL SMITH
TREASURER
14106 PEDICORD ROAD
MOUNT AIRY MD 21771

Officer/Director/Trustee Three

SHERRY B SCOTT PHD
CHAIRPERSON OF GOVERNING BODY
15084 DANEHURST CIRCLE
GAINESVILLE VA 20155

Officer/Director/Trustee Four

GLENNDA SMITH
SECRETARY
14106 PEDICORD ROAD
MOUNT AIRY MD 21771

Officer/Director/Trustee Five

DENNIS R SILL
OFFICER
7502 CHANCELLOR WAY
SPRINGFIELD VA 22153-2340

Organization’s website NA
Organization’s email DIANE@HEARTMATTERSFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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
Signature Title
Signature Date

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