FORM 1023-EZ for LOTUS HEART FOUNDATION

Field Data
EIN 81-5320855
Case Number EO-2017080-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOTUS HEART FOUNDATION
Organization’s Mailing Address 2305 EISENHOWER DR
City M0
State TX
ZIP 75071
Accounting period End 11
Primary contact name JANA JANSSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANA JANSSON
EXECUTIVE DIRECTOR/PRESIDENT
2305 EISENHOWER DR
MCKINNEY TX 75071

Officer/Director/Trustee Two

JANNA FAGAN
VICE PRESIDENT
PO BOX 224864
DALLAS TX 75223

Officer/Director/Trustee Three

MICHAEL MCCULLOUGH
TREASURER
16620 AMISTAD AVE
PROSPER TX 75078

Officer/Director/Trustee Four

MALINI GHOSHAL
BOARD MEMBER
3308 PRESTON RD STE 350-342
PLANO TX 75093

Officer/Director/Trustee Five

DON HOOTON
BOARD MEMBER
517 BRIDLEWOOD SOUTH
COLLEYVILLE TX 76034

Organization’s website WWW.LOTUSHEARTFOUNDATION.ORG
Organization’s email JANA.JANSSON@LOTUSHEARTFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
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
Signature Title
Signature Date

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