FORM 1023-EZ for JR HEARTS

Field Data
EIN 81-2550420
Case Number EO-2016190-000562
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JR HEARTS
Organization’s Mailing Address 833 GOLDENVIEW COURT
City OCONOMOWOC
State WI
ZIP 53066
Accounting period End 12
Primary contact name AMY REESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY REESE
PRESIDENT
833 GOLDENVIEW COURT
OCONOMOWOC WI 53066

Officer/Director/Trustee Two

ERIC REESE
VICE PRESIDENT
833 GOLDENVIEW COURT
OCONOMOWOC WI 53066

Officer/Director/Trustee Three

KATIE MIKULAK
SECRETARY
1270 PRAIRIE CREEK BLVD UNIT 211
OCONOMOWOC WI 53066

Officer/Director/Trustee Four

AMY REESE
TREASURER
833 GOLDENVIEW COURT
OCONOMOWOC WI 53066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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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