FORM 1023-EZ for SULLYS HEART INC

Field Data
EIN 83-2964566
Case Number EO-2019148-000650
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SULLYS HEART INC
Organization’s Mailing Address 30 VIOLA DR
City ORTONVILLE
State MI
ZIP 48462-8825
Accounting period End 12
Primary contact name VERONICA NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA NICHOLS
CODIRECTOR/TREASURER
30 VIOLA DR
ORTONVILLE MI 48462-8825

Officer/Director/Trustee Two

BRENDA SPENCER
CODIRECTOR/SECRETARY
1010 EUGENE DR
OXFORD MI 48371

Officer/Director/Trustee Three

TIFFANY BIVENS
BOARD MEMBER
4242 E ATHERTON RD
DAVISON MI 48423

Officer/Director/Trustee Four

DUANNE COOK
BOARD MEMBER
1530 SEYMORE LAKE RD
OXFORD MI 48371

Officer/Director/Trustee Five

LUNA NICHOLS
BOARD MEMBER
13422 ALCANFOR
UNIVERSAL CITY TX 78148

Organization’s website HTTP://SULLYSHEART.WEEBLY.COM
Organization’s email SULLYSHEART@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 VERONICA NICHOLS
Signature Title CODIRECTOR/TREASURER
Signature Date 5/26/19

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