FORM 1023-EZ for DAISYS HEART FOUNDATION

Field Data
EIN 84-3199006
Case Number EO-2019284-000641
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAISYS HEART FOUNDATION
Organization’s Mailing Address 8811 LOTTSFORD RD SUITE 245
City UPPER MARLBORO
State MD
ZIP 20774
Accounting period End 12
Primary contact name TANGELIA COTTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANGELIA COTTON
FOUNDER
8811 LOTTSFORD ROAD SUITE 245
LARGO MD 20774

Officer/Director/Trustee Two

ASHLEY REEVES
DIRECTOR OF OPERATIONS
8811 LOTTSFORD RD SUITE 245
UPPER MARLBORO MD 20774

Officer/Director/Trustee Three

ADRIAN COTTON
TRUSTEE
8811 LOTTSFORD ROAD SUITE 245
UPPER MARLBORO MD 20774

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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 TANGELIA COTTON
Signature Title FOUNDER
Signature Date 10/9/19

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