FORM 1023-EZ for HEART OF GOAL

Field Data
EIN 83-4297384
Case Number EO-2019123-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF GOAL
Organization’s Mailing Address 722 QUILL RD
City BEAVERCREEK
State OH
ZIP 45430
Accounting period End 12
Primary contact name TAMMIE ELLERBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMIE ELLERBE
EXECUTIVE DIRECTOR
722 QUILL RD
BEAVERCREEK OH 45430

Officer/Director/Trustee Two

KENDRIC ELLERBE
BOARD MEMBER
722 QUILL RD
BEAVERCREEK SC 45430

Officer/Director/Trustee Three

SHANIKA SIMS
BOARD MEMBER
3044 WESTMINISTER DRIVE
BEAVERCREEK OH 45432

Officer/Director/Trustee Four

MARCIA EPPS
BOARD MEMBER
2762 EDWIN DR
BEAVERCREEK OH 45434

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 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 TAMMIE ELLERBE
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/1/19

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