FORM 1023-EZ for OPEN HEART FOUNDATION

Field Data
EIN 83-6904110
Case Number EO-2019198-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPEN HEART FOUNDATION
Organization’s Mailing Address 5172 NORTH AIR DEPOT BLVD
City EDMOND
State OK
ZIP 73034
Accounting period End 12
Primary contact name JEREMY BURROUGHS & ANGELA BURROUGHS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY BURROUGHS
TRUSTEE
5172 NORTH AIR DEPOT BLVD
EDMOND OK 73034

Officer/Director/Trustee Two

ANGELA BURROUGHS
TRUSTEE
5172 NORTH AIR DEPOT BLVD
EDMOND OK 73034

Organization’s website
Organization’s email JEREMY.BURROUGHS@CARR.US
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEREMY BURROUGHS
Signature Title TRUSTEE
Signature Date 7/15/19

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