FORM 1023-EZ for HEARTS ANONYMOUS

Field Data
EIN 47-2314718
Case Number EO-2015198-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTS ANONYMOUS
Organization’s Mailing Address 20 RIM ROAD
City KILGORE
State TX
ZIP 75662
Accounting period End 8
Primary contact name JANET MARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRISTI LANGLEY
PRESIDENT
724 WOODLAWN
KILGORE TX 75662

Officer/Director/Trustee Two

DIMI DESANTIS
SECRETARY
1201 BROOK DRIVE
KILGORE TX 75662

Officer/Director/Trustee Three

JANET MARLEY
TREASURER
20 RIM ROAD
KILGORE TX 75662

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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
Signature Title
Signature Date

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