FORM 1023-EZ for KS HEART HOUSE INC
| Field | Data |
|---|---|
| EIN | 85-1213821 |
| Case Number | EO-2020212-000414 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KS HEART HOUSE INC |
| Organization’s Mailing Address | 3297 MARLIES CIRCLE |
| City | MACON |
| State | GA |
| ZIP | 31206 |
| Accounting period End | 6 |
| Primary contact name | KITRESE BURKE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEMBERLE BROWN-JONES
BOARD PRESIDENT
3263 MARLIES CIRCLE
MACON GA 31206
Officer/Director/Trustee Two
MELVINA BENNETT
BOARD TREASURER-SECRETARY
5124 LONGACRE
BARLETT TN 38134
Officer/Director/Trustee Three
TRACEY MARTIN
BOARD MEMBER
150 NORTH CREST BLVD
MACON GA 31210
Officer/Director/Trustee Four
KITRESE BURKE
CEO
3287 MARLISE CIRCLE
MACON GA 31206
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/3/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P45 - Family Services, Adolescent Parents |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | KITRESE BURKE |
| Signature Title | CEO |
| Signature Date | 5/28/2020 |
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