FORM 1023-EZ for HEARTBEAT RESPONSE TEAM INC

Field Data
EIN 85-4170931
Case Number EO-2021125-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTBEAT RESPONSE TEAM INC
Organization’s Mailing Address 3001 RED HILL AVENUE STE 3-200
City COSTA MESA
State CA
ZIP 92626
Accounting period End 12
Primary contact name JOEL MEDENELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHALOM ESCOBAR
PRESIDENT
3001 RED HILL AVE
COSTA MESA CA 92626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 SHALOM ESCOBAR
Signature Title PRESIDENT
Signature Date 5/3/2021

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