FORM 1023-EZ for RUTHS HEART INC

Field Data
EIN 47-2060095
Case Number EO-2014293-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RUTHS HEART INC
Organization’s Mailing Address 4358 TIMUQUANA RD UNIT 172
City JACKSONVILLE
State FL
ZIP 32210
Accounting period End 12
Primary contact name MARY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY LEWIS
PRESIDENT, DIRECTOR
4358 TIMUQUANA RD UNIT 172
JACKSONVILLE FL 32210

Officer/Director/Trustee Two

ANN COWAP
SECRETARY, DIRECTOR
1730 COULEE AVE
JACKSONVILLE FL 32210

Officer/Director/Trustee Three

CHERYL GONZALES
TREASURER, DIRECTOR
4815 SUNDERLAND RD
JACKSONVILLE FL 32210

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
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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