FORM 1023-EZ for JACQUELINES HEART BEATS

Field Data
EIN 85-3490335
Case Number EO-2021064-001463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACQUELINES HEART BEATS
Organization’s Mailing Address 55 CLINTON PLACE APT 203
City HACKENSACK
State NJ
ZIP 07601
Accounting period End 12
Primary contact name MARTINE MELEANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTINE MELEANCE
PRESIDENT
55 CLINTON PLACE APT 203
HACKENSACK NJ 07601

Officer/Director/Trustee Two

KARIMA ABDUS-SALAAM
DIRECTOR
666 GROVE STREET
RIDGEWOOD NJ 07450

Officer/Director/Trustee Three

LEONA DEGROAT
DIRECTOR
6 PLEASANT ST
FLORIDA NY 10921

Organization’s website
Organization’s email JACQUELINEHEARTBEATS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 MARTINE MELEANCE
Signature Title PRESIDENT
Signature Date 1/12/2021

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