FORM 1023-EZ for HIS HEART TO THE NATIONS INC

Field Data
EIN 47-2524746
Case Number EO-2016028-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIS HEART TO THE NATIONS INC
Organization’s Mailing Address 7714 GASTON DRIVE
City PORT RICHEY
State FL
ZIP 34668
Accounting period End 12
Primary contact name LORI SCHAEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHY KRUPINSKI
PRESIDENT
7714 GASTON DRIVE
PORT RICHEY FL 34668

Officer/Director/Trustee Two

MARY SLACK
VICE PRESIDENT
15726
HUDSON FL 34667

Officer/Director/Trustee Three

LORI SCHAEFER
CHIEF EXECUTIVE OFFICER
6808 APPLEWOOD DRIVE
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Four

STEPHANIE SEAVEY
SECRETARY
7708 SEASHORE DRIVE
PORT RICHEY FL 34668

Officer/Director/Trustee Five

DONNA LEGERE
TREASURER
11350 EDISON AVENUE
NEW PORT RICHEY FL 34654

Organization’s website
Organization’s email HISHEART2N@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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