FORM 1023-EZ for BELLAS HEART

Field Data
EIN 87-2273358
Case Number EO-2021263-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLAS HEART
Organization’s Mailing Address 10303 20TH ST E C204
City EDGEWOOD
State WA
ZIP 98372
Accounting period End 8
Primary contact name TARA BENTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA BENTLEY
DIRECTOR
10303 20TH ST E C204
EDGEWOOD WA 98372

Officer/Director/Trustee Two

NIKITA BAILEY
OFFICER
10639 61ST AVE S
SEATTLE WA 98178

Officer/Director/Trustee Three

MALIK ABDUL-SHAHEED
OFFICER
23432 61ST AVE S V102
KENT WA 98032

Officer/Director/Trustee Four

TERESA KELLY
OFFICER
34214 1ST PL S APT C
FEDERAL WAY WA 98003

Organization’s website
Organization’s email BELLASHEART2020@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2021
Organization Incorporation State WA
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 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 TARA BENTLEY
Signature Title DIRECTOR
Signature Date 9/16/2021

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