FORM 1023-EZ for HEART FOR HOME INC

Field Data
EIN 26-4516813
Case Number EO-2018239-000538
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART FOR HOME INC
Organization’s Mailing Address 29328 SALTBUSH
City LAKE ELSINORE
State CA
ZIP 92530-4783
Accounting period End 12
Primary contact name GINNY DOUESNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINNY DOUESNARD
CHIEF EXECUTIVE OFFICER
29328 SALTBUSH
LAKE ELSINORE CA 92530-4783

Officer/Director/Trustee Two

LIZA RESPICO
SECRETARY
160 WEST PLACE
CARSON CA 90745-3713

Officer/Director/Trustee Three

NELLY MENJIVAR
CHIEF FINANICAL OFFICER
14830 ARTISAN STREET
MORENO VALLEY CA 92555-6369

Organization’s website HEARTFORHOME.ORG
Organization’s email GNDOUESNARD@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 GINNY DOUESNARD
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 8/23/18

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