FORM 1023-EZ for MY BEATEN HEART

Field Data
EIN 47-4040897
Case Number EO-2020118-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY BEATEN HEART
Organization’s Mailing Address 24864 KELLY ROAD
City EASTPOINTE
State MI
ZIP 48021
Accounting period End 12
Primary contact name TYRIA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRIA THOMAS
DIRECTOR
24864 KELLY RD
EASTPOINTE MI 48021

Officer/Director/Trustee Two

LAKENYA THOMAS
TREASURER
14225 MERRIWEATHER
WARREN MI 48089

Officer/Director/Trustee Three

DOROTHY THOMAS
CO-DIRECTOR
24864 KELLY ROAD
EASTPOINTE MI 48021

Officer/Director/Trustee Four

LASHYRA THOMAS
SECRETARY
24864 KELLY ROAD
EASTPOINTE MI 48021

Officer/Director/Trustee Five

TYRONE WILLIAMS
CHAIRPERSON
14225 MERRIWEATHER
WARREN MI 48089

Organization’s website WWW.MYBEATENHEART.ORG
Organization’s email MYBEATENHEART14@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 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 Yes
Correctness Declaration Yes
Signature Name TYRIA THOMAS
Signature Title DIRECTOR
Signature Date 4/23/2020

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