FORM 1023-EZ for HEARTBEAT 2 SUCCESS

Field Data
EIN 84-4681298
Case Number EO-2020192-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTBEAT 2 SUCCESS
Organization’s Mailing Address 361 PORTER LN
City MOREAUVILE
State LA
ZIP 71355
Accounting period End 11
Primary contact name MICHAEL V BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL V BARNES
CEO
361 PORTER LANE
MOREAUVILE LA 71355

Officer/Director/Trustee Two

KEEVAN SAMPSON
PRESIDENT
305 PORTER LANE
MOREAUVILLE LA 71355

Officer/Director/Trustee Three

TINA HAWTHORN
TREASURER
353PORTER LANE
MOREAUVILLE LA 71355

Officer/Director/Trustee Four

APRIL THOMAS
EXECUTIVE REGIONAL DIRECTOR
11381 HAMPTON CT
DENHAM SPRINGS LA 70726

Officer/Director/Trustee Five

ROSLAN BARNES
SECRETARY
361 PORTER LANE
MOREAUVILLE LA 71355

Organization’s website WWW.HEARBEAT2SUCCESS.COM
Organization’s email L_ROSLAN@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 No
Correctness Declaration Yes
Signature Name MICHAEL V BARNES
Signature Title CEO
Signature Date 7/8/2020

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