FORM 1023-EZ for 941 HERO INC

Field Data
EIN 84-1933901
Case Number EO-2019262-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 941 HERO INC
Organization’s Mailing Address 520 7TH STREET WEST UNIT 1114
City PALMETTO
State FL
ZIP 34220
Accounting period End 12
Primary contact name ROBERT BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BELL
PRESIDENT
3617 57TH STREET EAST
PALMETTO FL 34221

Officer/Director/Trustee Two

SHANNON STARLINE
TREASURER
9606 27TH AVE EAST
PALMETTO FL 34221

Officer/Director/Trustee Three

GENE GALLO
VP
6607 27TH AVE WEST
BRADENTON FL 34209

Organization’s website N/A
Organization’s email OFFICE@941HEROINC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - 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 ROBERT BELL
Signature Title PRESIDENT
Signature Date 9/17/19

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