FORM 1023-EZ for HEARTLAND TRANS WELLNESS GROUP

Field Data
EIN 46-5398033
Case Number EO-2015205-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTLAND TRANS WELLNESS GROUP
Organization’s Mailing Address 6566 MONTGOMERY RD SUITE 211
City CINCINNATI
State OH
ZIP 45213-1523
Accounting period End 6
Primary contact name LAUREEN YOKOYAMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JONAH YOKOYAMA
DIRECTOR
671 WOODVALLEY
CINCINNATI OH 45238-4773

Officer/Director/Trustee Two

JUNE HUELSKAMP
TREASURER
6836 VINEWOOD
CINCINNATI OH 45227-2614

Officer/Director/Trustee Three

CHRIS SEELBACH
BOARD MEMBER
801 PLUM SUITE 350
CINCINNATI OH 45202-1927

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2013
Organization Incorporation State OH
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 Yes
Compensation of Officer director trustee Yes
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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