FORM 1023-EZ for KIERRAS HEART INC

Field Data
EIN 83-0928163
Case Number EO-2018190-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIERRAS HEART INC
Organization’s Mailing Address 2032 STONEHENGE RD
City SPRINGFIELD
State IL
ZIP 62702
Accounting period End 12
Primary contact name SHANON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANON ALLEN
PRESIDENT
2032 STONEHENGE RD
SPRINGFIELD IL 62702

Officer/Director/Trustee Two

SHIKIRA BROOKS
TREASURER
510 CEDAR POINTE PARKWAY
ANTIOCH TN 37013

Officer/Director/Trustee Three

MIA DAWSON
SECRETARY
1717 SOUTH 4TH ST
SPRINGFIELD IL 62703

Organization’s website
Organization’s email KIERRASHEART@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHANON ALLEN
Signature Title PRESIDENT
Signature Date 7/5/18

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