FORM 1023-EZ for THE HERO FOUNDATION INC

Field Data
EIN 82-2902817
Case Number EO-2017307-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HERO FOUNDATION INC
Organization’s Mailing Address W157 N193 W FOND DU LAC AVE
City GERMANTOWN
State WI
ZIP 53022
Accounting period End 12
Primary contact name DARRY D WORTHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRY WORTHAM
CEO
W157 N193 W FOND DU LAC AVE
GERMANTOWN WI 53022

Officer/Director/Trustee Two

MICHAEL HENDERSON
CFO
4719 N 42ND STREET
MILWAUKEE WI 53209

Officer/Director/Trustee Three

BRENSON WINTER-TOWNS
CAO
4970 N 27TH ST
MILWAUKEE WI 53207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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