FORM 1023-EZ for BJ S HEART

Field Data
EIN 86-2106538
Case Number EO-2021093-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BJ S HEART
Organization’s Mailing Address 3455 EMPIRE STATE DR
City CANTON
State MI
ZIP 48188
Accounting period End 12
Primary contact name STEPHANIE HEART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE HART
PRESIDENT
3455 EMPIRE STATE DR
CANTON MI 48188

Officer/Director/Trustee Two

WILLIAM HART
VICE-PRESIDENT
3455 EMPIRE STATE DR
CANTON MI 48188

Officer/Director/Trustee Three

ROSHANDA MITCHELL
TREASURER
35545 CONCORD DR
ROMULUS MI 48174

Officer/Director/Trustee Four

KATHERINE FORTS
SECRETART
1660 DEVON
YPSILANTI MI 48197

Officer/Director/Trustee Five

KECIA RORIE
DIRECTOR
20075 NORTHVILLA PLACE
NORTHVILLE MI 48167

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
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 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 STEPHANIE HART
Signature Title PRESIDENT
Signature Date 2/26/2021

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