FORM 1023-EZ for 1ST HEARTBREAK INC

Field Data
EIN 47-1023485
Case Number EO-2014304-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 1ST HEARTBREAK INC
Organization’s Mailing Address 6028 CEDAR GLEN DR
City GRAND PRAIRIE
State TX
ZIP 75052
Accounting period End 1
Primary contact name SHAYLA NASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAYLA NASH
PRESIDENT
6028 CEDAR GLEN DR
GRAND PRAIRIE TX 75052

Officer/Director/Trustee Two

TIFFANY SMITH
SECRETARY
507 TISH CIR APT 505
ARLINGTON TX 76006

Officer/Director/Trustee Three

BRE ASIA WOODS
OFFICER
2920 CASTLEBEND DR
SEAGOVILLE TX 75159

Organization’s website WWW.1STHEARTBREAKINC.ORG
Organization’s email 1STHEARTBREAKINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O22 - Girls Clubs
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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