FORM 1023-EZ for HEARTLAND ORGANICS INC

Field Data
EIN 81-3290987
Case Number EO-2016256-000522
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTLAND ORGANICS INC
Organization’s Mailing Address 8999 RIDGE RD
City GASPORT
State NY
ZIP 14067
Accounting period End 12
Primary contact name ELAINE BARNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELAINE BARNETT
EXECUTIVE DIRECTOR
8999 RIDGE RD
GASPORT NY 14067

Officer/Director/Trustee Two

BOB ZIMA
PRESIDENT
7071 TRANSIT RD
AMHERST NY 14051

Officer/Director/Trustee Three

JOAN BEVERLY
VICE PRESIDENT
52 VERN LANE
CHEEKTOWGA NY 14227

Officer/Director/Trustee Four

DEANNE TCHORZNICKI
SECRETARY TREASURER
145 DAVISON RD
LOCKPORT NY 14094

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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