FORM 1023-EZ for A WOMANS HEART INC

Field Data
EIN 37-1802863
Case Number EO-2016081-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A WOMANS HEART INC
Organization’s Mailing Address 693 CHEESE FACTORY ROAD
City HONEOYE FALLS
State NY
ZIP 14472
Accounting period End 12
Primary contact name CHRISTOPHER M BAILEY CPA CFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KING BECK
PRESIDENT
1074 CHAPELHILL DRIVE
VICTOR NY 14564

Officer/Director/Trustee Two

LAIMA BECK
SECRETARY
1074 CHAPELHILL DRIVE
VICTOR NY 14564

Officer/Director/Trustee Three

CAROL MOORE
DIRECTOR
1221 RED FOX RUN
VICTOR NY 14564

Officer/Director/Trustee Four

JOHN THOMASSEN
VICE PRESIDENT
831 WEST BLOOMFIELD ROAD
HONEOYE FALLS NY 14472

Officer/Director/Trustee Five

CHRISTOPHER BAILEY
TREASURER
1015 EAST LAKE ROAD
DUNDEE NY 14837

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R24 - Women's Rights
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
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 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
Signature Title
Signature Date

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