FORM 1023-EZ for HEARTS FOR HADLEY

Field Data
EIN 81-3617203
Case Number EO-2019256-000050
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTS FOR HADLEY
Organization’s Mailing Address 5312 OAK GLADE LN
City KNOXVILLE
State TN
ZIP 37918
Accounting period End 12
Primary contact name BEKI BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEKI BROOKS
PRESIDENT
5312 OAK GLADE LN
KNOXVILLE TN 37918

Officer/Director/Trustee Two

ANGELA GRUSSING
TREASURER
3305 LANDS END LN
KNOXVILLE TN 37931

Officer/Director/Trustee Three

KELLI COKER
VICE PRESIDENT
5234 MCCAMPBELL HILL LN
KNOXVILLE TN 37918

Officer/Director/Trustee Four

CHEYENNE DUFFY
SECRETARY
1704 HIGHLAND DR
KNOXVILLE TN 37918

Officer/Director/Trustee Five

JEFF MIZE
OFFICER
5137 MOUNTAINCREST DR
KNOXVILLE TN 37918

Organization’s website HEARTSFORHADLEY.COM
Organization’s email HEARTSFORHADLEY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/15
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W19 - Nonmonetary Support N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BEKI BROOKS
Signature Title PRESIDENT
Signature Date 9/9/19
EIN 81-3617203
Case Number EO-2016340-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTS FOR HADLEY
Organization’s Mailing Address 5312 OAK GLADE LANE
City KNOXVILLE
State TN
ZIP 37918
Accounting period End 12
Primary contact name BEKI BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEKI BROOKS
PRESIDENT
5312 OAK GLADE LANE
KNOXVILLE TN 37918

Officer/Director/Trustee Two

ANGELA GRUSSING
TREASURER
3305 LANDS END LANE
KNOXVILLE TN 37931

Officer/Director/Trustee Three

KELLI COKER
VICE PRESIDENT
5234 MCCAMPBELL HILL LANE
KNOXVILLE TN 37918

Officer/Director/Trustee Four

CHEYENNE DUFFY
SECRETARY
1704 HIGHLAND DRIVE
KNOXVILLE TN 37918

Officer/Director/Trustee Five

JEFF MIZE
OFFICER
5137 MOUNTAINCREST DRIVE
KNOXVILLE TN 37918

Organization’s website HEARTSFORHADLEY.COM
Organization’s email HEARTSFORHADLEY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W19 - Nonmonetary Support N.E.C.
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
Signature Title
Signature Date

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