FORM 1023-EZ for NIA IMANI HEART ASSOCIATION

Field Data
EIN 45-2507266
Case Number EO-2021109-000581
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NIA IMANI HEART ASSOCIATION
Organization’s Mailing Address 2835 WESTRIDGE RD
City RIVERSIDE
State CA
ZIP 92506
Accounting period End 12
Primary contact name MIA MCNULTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIA MCNULTY
CEO
24325 CRENSHAW BLVD SUITE 316
TORRANCE CA 90505

Officer/Director/Trustee Two

JOHNNIE CORINA II
CFO
24325 CRENSHAW BLVD SUITE 361
TORRANCE CA 90505

Officer/Director/Trustee Three

JACKIE CORINA
SECRETARY
24325 CRENSHAW BLVD SUITE 361
TORRANCE CA 90505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name MIA MCNULTY
Signature Title CEO
Signature Date 4/16/2021
EIN 45-2507266
Case Number EO-2015348-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NIA IMANI HEART ASSOCIATION
Organization’s Mailing Address 2835 WESTRIDGE RD
City RIVERSIDE
State CA
ZIP 92506
Accounting period End 6
Primary contact name MIA MCNULTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIA MCNULTY
PRESIENT/CEO
2017 W LOMITA BLVD SUITE 2328
LOMITA CA 90717

Officer/Director/Trustee Two

JACKIE M CORINA
PRESIDENT
2017 W LOMITA BLVD SUITE 2328
LOMITA CA 90717

Officer/Director/Trustee Three

ZINA WASHINGTON
SECRETARY
2017 W LOMITA BLVD SUITE 2328
LOMITA CA 90717

Officer/Director/Trustee Four

GINA SCOTT
BOARD MEMBER
2017 W LOMITA BLVD SUITE 2328
LOMITA CA 90717

Officer/Director/Trustee Five

RUTHIE REED
TRESURE
2017 W LOMITA BLVD SUITE 2328
LOMITA CA 90717

Organization’s website
Organization’s email NASHEART@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2011
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
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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