FORM 1023-EZ for PEDAL WITH A HEART

Field Data
EIN 47-2760274
Case Number EO-2015015-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEDAL WITH A HEART
Organization’s Mailing Address 16 FOX RUN CT
City GORHAM
State ME
ZIP 04038-5871
Accounting period End 12
Primary contact name NANCY INNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARA RUPERT
PRESIDENT
1127 E ALAMEDA
SANTA FE NM 87501-2286

Officer/Director/Trustee Two

PETER MURPHY
VICE PRESIDENT
64 HUNTERS CROSSING
BURLINGTON CT 06013-1548

Officer/Director/Trustee Three

JILL WELCH
TREASURER
135 CALEB ST
PORTLAND ME 04102-2237

Officer/Director/Trustee Four

NANCY INNES
SECRETARY
16 FOX RUN CT
GORHAM ME 04038-1939

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2014
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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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