FORM 1023-EZ for A HEART LIKE MINE CORPORATION

Field Data
EIN 85-0731635
Case Number EO-2020219-000229
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HEART LIKE MINE CORPORATION
Organization’s Mailing Address 3855 ANTIOCH ROAD
City SULPHUR ROCK
State AR
ZIP 72579-9535
Accounting period End 12
Primary contact name STEPHANIE FLETCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE FLETCHER
ORGANIZER
3855 ANTIOCH RD
SULPHUR ROCK AR 72579-9535

Officer/Director/Trustee Two

DEREK FLETCHER
DIRECTOR
3855 ANTIOCH ROAD
SULPHUR ROCK AR 72579-9535

Officer/Director/Trustee Three

ED ZINNI
DIRECTOR
5217 BRAEBURN DRIVE
BELLAIRE TX 77401-4814

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 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 STEPHANIE FLETCHER
Signature Title ORGANIZER
Signature Date 8/4/2020

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