FORM 1023-EZ for A HEART 4 KIDS

Field Data
EIN 85-4131755
Case Number EO-2021027-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HEART 4 KIDS
Organization’s Mailing Address 6144 W AVENUE K2
City LANCASTER
State CA
ZIP 93536
Accounting period End 12
Primary contact name JOSEPH GINN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR ROBERT HARRIS
DIRECTOR
6144 W AVENUE K2
LANCASTER CA 93536

Officer/Director/Trustee Two

MATTHEW BERRYMAN
DIRECTOR
6243 RICKIE LANE
PALMDALE CA 93551

Officer/Director/Trustee Three

CHARAE ANDERSON
DIRECTOR
41226 CHESTNUT ST
PALMDALE CA 93551

Officer/Director/Trustee Four

JAMEEL FRASER
DIRECTOR
285 BLACKGUM TRCE
DALLAS GA 30132

Officer/Director/Trustee Five

SARAH CHAVEZ
DIRECTOR
40251 FIELDSPRING ST
PALMDALE CA 93591

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, 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 No
One Third Support Public No
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 DR ROBERT HARRIS
Signature Title DIRECTOR
Signature Date 12/3/2020

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