FORM 1023-EZ for HEALING HEARTS AND SOULS

Field Data
EIN 30-0533786
Case Number EO-2021064-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALING HEARTS AND SOULS
Organization’s Mailing Address PO BOX 25463
City SCOTTSDALE
State AZ
ZIP 85255
Accounting period End 12
Primary contact name EJ JAMSGARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EJ JAMSGARD
DIRECTOR
PO BOX 25463
SCOTTSDALE AZ 85331

Officer/Director/Trustee Two

BENTLEY TURBYFILL
DIRECTOR
4270 ARNOLD COMPLEX
CORVALLIS OR 97331

Organization’s website WWW.HEALINGHEARTSANDSOULS.COM
Organization’s email HEARTSOULS2009@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2009
Organization Incorporation State AZ
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: 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 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 EJ JAMSGARD
Signature Title DIRECTOR
Signature Date 1/3/2021

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