FORM 1023-EZ for SPRINGHEART

Field Data
EIN 81-3906683
Case Number EO-2016266-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPRINGHEART
Organization’s Mailing Address 120 AUTUMN RUSH CT
City GAHANNA
State OH
ZIP 43230
Accounting period End 12
Primary contact name BOB PELLICAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BRENNAN
PRESIDENT
120 AUTUMN RUSH CT
GAHANNA OH 43230

Officer/Director/Trustee Two

MICHELLE LIN
TREASURER
1 THOMAS RD
MIRANDA CA 95553

Officer/Director/Trustee Three

BOB PELLICAN
VICE-PRESIDENT SECRETARY
410 GILBERT AVE
MENLO PARK CA 94025

Organization’s website SPRINGHEART.ORG
Organization’s email CONTACT@SPRINGHEART.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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