FORM 1023-EZ for HEART CUP FOUNDATION

Field Data
EIN 81-1406727
Case Number EO-2017009-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART CUP FOUNDATION
Organization’s Mailing Address 806 E AVE PICO SUITE I 272
City SAN CLEMENTE
State CA
ZIP 92673
Accounting period End 12
Primary contact name KIMBERLY A ROHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT FARNHAM
DIRECTOR/PRESIDENT
412 AVE SANTA BARBARA SUITE 5
SAN CLEMENTE CA 92673

Officer/Director/Trustee Two

PAUL MILLER
DIRECTOR
556 LODGE TRAIL CIRCLE
PRESCOTT AZ 86303

Officer/Director/Trustee Three

CRAIG TURLEY
DIRECTOR
38880 BUTTERFLY DR
YUCAIPA CA 92399

Officer/Director/Trustee Four

WILSON TURLEY
SECRETARY
38880 BUTTERLY DR
YUCAIPA CA 92399

Officer/Director/Trustee Five

JAMES JACOB
TREASURER
23306 CAMINITO LOS POCITOS
LAGUNA HILLS CA 92653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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