FORM 1023-EZ for HEART FOR SINGLE MOTHERS

Field Data
EIN 86-3229905
Case Number EO-2021140-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART FOR SINGLE MOTHERS
Organization’s Mailing Address 1902 BANK STREET
City LOUISVILLE
State KY
ZIP 40203
Accounting period End 12
Primary contact name CARLA F ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA ANDERSON
PRESIDENT
1902 BANK STREET
LOUISVILLE KY 40203

Officer/Director/Trustee Two

DANA SEAY
CHAIRPERSON
1044 ALTA VISTA ROAD
LOUISVILLEW KY 40205

Officer/Director/Trustee Three

DECORA MARTIN
ADMINISTRATOR
2330 GREENWOOD AVENUE
LOUISVILLE KY 40210

Officer/Director/Trustee Four

ERICA GETTIS
CO CHAIRPERSON
2401 TERRA CROSSING BLVD
LOUISVILLE KY 40245

Officer/Director/Trustee Five

STEPHANIE FORD
ACCOUNTANT
8101 GREENSPRING WAY APT B
OWINGS MILLS MD 21117

Organization’s website HEARTSINGLEMOTHERS.ORG
Organization’s email CONTACTUS@HEARTFORSINGLEMOTHERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2021
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 CARLA ANDERSON
Signature Title PRESIDENT
Signature Date 5/13/2021

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