FORM 1023-EZ for MY HEART IS HOME CORPORATION

Field Data
EIN 86-3929120
Case Number EO-2021145-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY HEART IS HOME CORPORATION
Organization’s Mailing Address 12928 N 72ND AVE
City PEORIA
State AZ
ZIP 85381
Accounting period End 1
Primary contact name AVIONNE ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AVIONNE ROBINSON
PRESIDENT
12928 N 72ND AVE
PEORIA AZ 85381

Organization’s website
Organization’s email HOMEFORHEARTS1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 AVIONNE ROBINSON
Signature Title PRESIDENT
Signature Date 5/23/2021

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