FORM 1023-EZ for H6 - A BRAVEHART WELLNESS CHARITY

Field Data
EIN 84-3511924
Case Number EO-2019304-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name H6 - A BRAVEHART WELLNESS CHARITY
Organization’s Mailing Address 3458 WHITSETTS FORK RD
City WILDWOOD
State MO
ZIP 63038
Accounting period End 12
Primary contact name MARY JO BURKHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATTI GEALY
BOARD MEMBER
7459 STRATFORD
UNIVERSITY CITY MO 63130

Officer/Director/Trustee Two

ELIZABETH LAFFEY
BOARD MEMBER
835 MARCO
KIRKWOOD MO 63122

Officer/Director/Trustee Three

JOHN DATTILO
BOARD MEMBER
3458 WHITSETTS FORK RD
WILDWOOD MO 63038

Officer/Director/Trustee Four

MARY JO BURKHART
EXECUTIVE DIRECTOR
3458 WHITSETTS FORK RD
WILDWOOD MO 63038

Organization’s website WWW.BRAVEHARTWELLNESS.COM
Organization’s email BRAVEHARTWELLNESS.MARYJO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 MARY JO BURKHART
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/29/19

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