FORM 1023-EZ for EPILEPSY HEART PROJECT
| Field | Data |
|---|---|
| EIN | 84-1740535 |
| Case Number | EO-2020006-000529 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EPILEPSY HEART PROJECT |
| Organization’s Mailing Address | 1013 OAKRIDGE CT |
| City | KENNEDALE |
| State | TX |
| ZIP | 76060 |
| Accounting period End | 5 |
| Primary contact name | ANTHONY PHAM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAVIER ARRENDONDO
OFFICER
1416 WEST ARKANSAS LN
ARLINGTON TX 76013
Officer/Director/Trustee Two
BRIAN COGBURN
OFFICER
4601 WILLOW TREE DR
ARLINGTON TX 76013
Officer/Director/Trustee Three
CODY KISSELBURGH
OFFICER
2045 SILVER HAWK CT
ROCKWALL TX 75032
Officer/Director/Trustee Four
ANTHONY PHAM
DIRECTOR
1013 OAKRIDGE CT
KENNEDALE TX 76060
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/7/2019 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | 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 | ANTHONY PHAM |
| Signature Title | DIRECTOR |
| Signature Date | 1/3/2020 |
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