FORM 1023-EZ for HEART OF A CAREGIVER INC

Field Data
EIN 82-2620627
Case Number EO-2017262-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF A CAREGIVER INC
Organization’s Mailing Address 23724 SW 118TH AVENUE
City HOMESTEAD
State FL
ZIP 33032
Accounting period End 12
Primary contact name GLORIA SPANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLORIA SPANN
PRESIDENT
23724 SW 118TH AVENUE
HOMESTEAD FL 33032

Officer/Director/Trustee Two

PRUDENCE MALLORY HENDERSON
TREASURER
18664 SW 100TH AVENUE
MIAMI FL 33157

Officer/Director/Trustee Three

ROBERT J BROOKS JR
CHAIRMAN
17901 SW 104TH AVENUE
MIAMI FL 33157

Officer/Director/Trustee Four

EARNESTINE THOMPSON
VICE CHAIRMAN
10860 SW 167TH STREET
MIAMI FL 33157

Officer/Director/Trustee Five

NADINE ROLLE
DIRECTOR
11252 SW 242ND STREET
HOMESTEAD FL 33032

Organization’s website
Organization’s email HEARTOFACAREGIVER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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