FORM 1023-EZ for GOOD HEART FOUNDATION

Field Data
EIN 81-0714050
Case Number EO-2015338-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD HEART FOUNDATION
Organization’s Mailing Address PO BOX 19502
City MINNEAPOLIS
State MN
ZIP 55419
Accounting period End 12
Primary contact name HELENA MUSHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HELENA MUSHI
PRESIDENT
PO BOX 19502
MINNEAPOLIS MN 55419

Officer/Director/Trustee Two

RUTH FARDIG
DIRECTOR
1020 EAST 17TH STREET - APT 540
MINNEAPOLIS MN 55404

Officer/Director/Trustee Three

ASHISETA LEMA
TREASURER
3210 JUNIPER CIRCLE - UNIT F
WOODBURY MN 55125

Officer/Director/Trustee Four

ANA MUSHI
DIRECTOR
PO BOX 2050
ARUSHA TANZANIA MN 55441

Organization’s website WWW.GHFOUNDATION.NET
Organization’s email MDMUSHI@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
Conducting Activities Outside of United States Yes
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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