FORM 1023-EZ for M Y OPEN HEART INCORPORATED

Field Data
EIN 80-0452095
Case Number EO-2017303-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name M Y OPEN HEART INCORPORATED
Organization’s Mailing Address 4421 ESMERALDA DRIVE
City CHARLOTTE
State NC
ZIP 28269-2872
Accounting period End 3
Primary contact name CHRISTOPHER MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVETTE BUTTRAM
BOARD CHAIRPERSON
4421 ESMERALDA DRIVE
CHARLOTTE NC 28269-2872

Officer/Director/Trustee Two

EARVA SUMMERS
BOARD TREASURER
6723 COVE CREEK DRIVE
CHARLOTTE NC 28215-1742

Officer/Director/Trustee Three

ANGELA WARD
BOARD SECRETARY
7069 SOMERSET SPRINGS DRIVE
CHARLOTTE NC 28262-3586

Officer/Director/Trustee Four

CHRISTOPHER MILLER
EXECUTIVE DIRECTOR
4421 ESMERALDA DRIVE
CHARLOTTE NC 28269-2872

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2009
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 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
Signature Title
Signature Date

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