FORM 1023-EZ for HEARTBEAT MISSION

Field Data
EIN 32-0166354
Case Number EO-2021174-000039
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTBEAT MISSION
Organization’s Mailing Address 3911 STONEGATE PARK DR
City ST JOSEPH
State MI
ZIP 49085-9130
Accounting period End 12
Primary contact name STACY BERNDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRELL O DONNELL
PRESIDENT
4760 JAMESTOWN DR
STEVENSVILLE MI 49127

Officer/Director/Trustee Two

SAUNDRA LEMLEY
VICE PRESIDENT
7709 E 109TH PL SOUTH
TULSA OK 74133

Officer/Director/Trustee Three

MANFRED WALGRAM
SECRETARY TREASURER
4881 WIL O PAW DR
COLOMA MI 49038

Officer/Director/Trustee Four

LESLIE TATE
BOARD MEMBER
4047 PEARL STREET
BRIDGMAN MI 49106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2005
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
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 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name SHERRELL O DONNELL
Signature Title PRESIDENT
Signature Date 6/19/2021
EIN 32-0166354
Case Number EO-2015243-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTBEAT MISSION
Organization’s Mailing Address 3911 STONEGATE PARK DRIVE
City ST. JOSEPH
State MI
ZIP 49085
Accounting period End 5
Primary contact name SHERRELL O DONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRELL ODONNELL
BOARD VICE PRESIDENT
3911 STONEGATE PARK DRIVE
ST JOSEPH MI 49085

Officer/Director/Trustee Two

MANFRED WALGRAM
BOARD-SECTRETARY-TREASURER
4881 WIL-O-PAW
COLOMA MI 49038

Officer/Director/Trustee Three

SAUNDRA LEMLEY
BOARD-PRESIDENT
3911 STONEGATE PARK DRIVE
ST JOSEPH MI 49085

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2005
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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