FORM 1023-EZ for HEB FOUNDATION INC

Field Data
EIN 86-3189418
Case Number EO-2021118-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEB FOUNDATION INC
Organization’s Mailing Address 64 LISBON AVE
City BUFFALO
State NY
ZIP 14214
Accounting period End 4
Primary contact name VALERIE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIE JOHNSON
EXECUTIVE DIRECTOR
64 LISBON AVE
BUFFALO NY 14214

Officer/Director/Trustee Two

TIARA JOHNSON
PRESIDENT
163 STEWART ST
BUFFALO NY 14211

Officer/Director/Trustee Three

MICHEA POPE-MOSS
VICE PRESIDENT
56 EGGERT RD
BUFFALO NY 14215

Officer/Director/Trustee Four

PATRICIA WIDEMAN
SECRETARY TREASURER
96 EATON ST
BUFFALO NY 14208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name VALERIE JOHNSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/26/2021

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