FORM 1023-EZ for THE HEART OF A CAREGIVER INCORPORATED

Field Data
EIN 82-1484790
Case Number EO-2017132-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE HEART OF A CAREGIVER INCORPORATED
Organization’s Mailing Address 24206 PINE CANYON FALLS
City TOMBALL
State TX
ZIP 77375
Accounting period End 12
Primary contact name ANGELA DANNETT BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA BENNETT
PRESIDENT AND CEO
24206 PINE CANYON FALLS
TOMBALL TX 77375

Officer/Director/Trustee Two

JOHN SIMMONS
VICE PRESIDENT
3702 BORDER COURT
MISSOURI TX 77459

Officer/Director/Trustee Three

YOLANDRA SIMMONS
SECRETARY TREASURER
24206 PINE CANYON FALLS
TOMBALL TX 77375

Officer/Director/Trustee Four

MARK SIMMONS
BOARD MEMBER
2806 LEGENDS KNOLL
SPRING TX 77386

Officer/Director/Trustee Five

MICHAEL HARRISON
BOARD MEMBER
12469 SOUTH DAIRY ASHFORD ROAD
HOUSTON TX 77099

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
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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