FORM 1023-EZ for STAPLES FOR THE HEART

Field Data
EIN 83-3763616
Case Number EO-2021091-000773
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STAPLES FOR THE HEART
Organization’s Mailing Address 3029 CHESTNUT RD
City LINCOLNTON
State NC
ZIP 28092
Accounting period End 7
Primary contact name IANITA FAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IANITA FAIR
EXECUTIVE DIRECTOR
3029 CHESTNUT RD
LINCOLNTON NC 28092

Officer/Director/Trustee Two

TAWANA MOBLEY
SECRETARY
5101 STONEY POND LANE - E
MINT HILL NC 28227

Officer/Director/Trustee Three

SAYYEIDA BROWN
TREASURER
1977 GAIL ST
NEWTON NC 28658

Organization’s website
Organization’s email STAPLESFORTHEHEART@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name IANITA FAIR
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/20/2021
EIN 83-3763616
Case Number EO-2019070-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RECOVERY OUTREACH PROGRAM
Organization’s Mailing Address 2800 BARTONS BLUFF LANE NUMBER 507
City AUSTIN
State TX
ZIP 78746-7948
Accounting period End 2
Primary contact name CHARLES MCGARTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON AUSTIN
PRESIDENT
2800 BARTONS BLUFF LANE NUMBER 507
AUSTIN TX 78746-7948

Officer/Director/Trustee Two

PETER PIRIANO
VICE PRESIDENT
500 HUDGINS STREET
SMITHVILLE TX 78957-1519

Officer/Director/Trustee Three

JEROME BORGES
TREASURER
PO BOX 2378
WIMBERLY TX 78676-7278

Officer/Director/Trustee Four

THOMAS GRAHAM
SECRETARY
2501 WICKERSHAM LANE NUMBER 2023
AUSTIN TX 78741-4674

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AARON AUSTIN
Signature Title PRESIDENT
Signature Date 3/8/19

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