FORM 1023-EZ for MENDED HEARTS LLC

Field Data
EIN 90-0452344
Case Number EO-2019058-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDED HEARTS LLC
Organization’s Mailing Address 18918 SAN JUAN DR
City DETROIT
State MI
ZIP 48221-2176
Accounting period End 12
Primary contact name DASHAWN PARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DASHAWN PARKS
DIRECTOR
18918 SAN JUAN DR
DETROIT MI 48221-2176

Officer/Director/Trustee Two

JANICE BENSON
DIRECTOR
648 MOUNT VERNON
DETROIT MI 48202

Officer/Director/Trustee Three

REGINA THOMPSON
DIRECTOR
19211 GRIGGS
DETROIT MI 48221

Officer/Director/Trustee Four

ROYCE BOWDEN
SECRETARY
19211 GRIGGS
DETROIT MI 48221

Officer/Director/Trustee Five

ROBERT LONG
TREASURER
18918 SAN JUAN
DETROIT MI 48221-2176

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/09
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name DASHAWN PARKS
Signature Title DIRECTOR
Signature Date 2/25/19

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