FORM 1023-EZ for HEARTS OF BLISS FOUNDATION INC

Field Data
EIN 81-5412720
Case Number EO-2017102-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTS OF BLISS FOUNDATION INC
Organization’s Mailing Address 308 E SIMPSON STREET SUITE 102
City LAFAYETTE
State CO
ZIP 80026
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID NOEL
PRESIDENT/TREASURER
308 E SIMPSON STREET SUITE 102
LAFAYETTE CO 80026

Officer/Director/Trustee Two

LAURA AUSTIN
SECRETARY
16 PRINCETON CIRCLE
LONGMONT CO 80504

Officer/Director/Trustee Three

PAIGE BROWN
DIRECTOR
6505 KALUA ROAD APT 202
BOULDER CO 80301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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