FORM 1023-EZ for HAND OVER HEART

Field Data
EIN 84-4641834
Case Number EO-2020178-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAND OVER HEART
Organization’s Mailing Address 4701 WINTERBERRY LANE
City MONROE
State NC
ZIP 28110-5635
Accounting period End 12
Primary contact name JUSTIN WAYNE DRAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN DRAKE
CHAIRMAN/CEO
4701 WINTERBERRY LANE
MONROE NC 28110-5635

Officer/Director/Trustee Two

DAVID GOURLEY
SECRETARY
4701 WINTERBERRY LANE
MONROE NC 28110-5635

Officer/Director/Trustee Three

MICHEL OBRIEN
VICE CHAIR
10125 UNIVERSITY PARK LANE
CHARLOTTE NC 28213

Officer/Director/Trustee Four

PAUL BLITCH
TREASURER
4613 BUTTERWICK LANE
CHARLOTTE NC 28212

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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 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 No
Correctness Declaration Yes
Signature Name JUSTIN DRAKE
Signature Title CHAIRMAN/CEO
Signature Date 6/24/2020

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