FORM 1023-EZ for HEART & HOME LIVES INC

Field Data
EIN 86-3431200
Case Number EO-2021172-000501
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART & HOME LIVES INC
Organization’s Mailing Address 247 STRAWRIDGE ROAD
City WALLKILL
State NY
ZIP 12589
Accounting period End 12
Primary contact name CAMILLE LAIRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE LAIRD
PRESIDENT AND DIRECTOR
247 STRAWRIDGE ROAD
WALLKILL NY 12589

Officer/Director/Trustee Two

ANTHONY LAIRD
DIRECTOR
247 STRAWRIDGE ROAD
WALLKILL NY 12589

Officer/Director/Trustee Three

ANNTONETTE LAIRD
DIRECTOR
247 STRAWRIDGE ROAD
WALLKILL NY 12589

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
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 CAMILLE LAIRD
Signature Title PRESIDENT AND DIRECTOR
Signature Date 6/17/2021

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