FORM 1023-EZ for BORROWED HEARTS FOUNDATION INC

Field Data
EIN 81-1358951
Case Number EO-2017052-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BORROWED HEARTS FOUNDATION INC
Organization’s Mailing Address 8545 GREENDALE DRIVE
City EVANSVILLE
State IN
ZIP 47711
Accounting period End 12
Primary contact name SARAH GOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH GOUGH
EXECUTIVE DIRECTOR
8545 GREENDALE DRIVE
EVANSVILLE IN 47711-6339

Officer/Director/Trustee Two

KATIE KUESTER
PRESIDENT
1901 S BOEKE ROAD
EVANSVILLE IN 47714-3829

Officer/Director/Trustee Three

SALENA COURTNEY
VICE PRESIDENT
726 KECK AVENUE
EVANSVILLE IN 47711-6339

Officer/Director/Trustee Four

AMANDA HUGHES
SECRETARY
11424 HIGHWAY 57
EVANSVILLE IN 47725-9735

Officer/Director/Trustee Five

JANET ESCOBAR
TREASURER
20 OAK MEADOW
EVANSVILLE IN 47725-9735

Organization’s website WWW.BORROWEDHEARTS.WEEBLY.COM
Organization’s email BORROWEDHEARTS2@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 Yes
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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