FORM 1023-EZ for HEART BARN

Field Data
EIN 84-3191109
Case Number EO-2020023-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART BARN
Organization’s Mailing Address 162 ZIMMERMAN RD
City ADVANCE
State NC
ZIP 27006
Accounting period End 12
Primary contact name JESSICA A MABE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA MABE
CHAIR
418 ZIMMERMAN ROAD
ADDVANCE NC 27006

Officer/Director/Trustee Two

MARCY DRYSDALE
VICE CHAIR
162 ZIMMERMAN RD
ADVANCE NC 27006

Officer/Director/Trustee Three

DAVID MABE
SECRETARY
418 ZIMMERMAN RD
ADVANCE NC 27006

Officer/Director/Trustee Four

MARY ROBINSON
TREASURER
207 OLDE WELL LOOP RD
WILMINGTON NC 28411

Officer/Director/Trustee Five

SHARON TRAIL
COMPLIANCE OFFICER
2020 PINE VISTA DR
PINEHURST NC 28374

Organization’s website WWW.HEARTBARN.COM
Organization’s email JESSY@HEARTBARN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 No
Disaster relief assistance Yes
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 JESSICA MABE
Signature Title CHAIR
Signature Date 1/21/2020

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