FORM 1023-EZ for HEART OF PHOENIX ARISE INC

Field Data
EIN 83-3932796
Case Number EO-2019080-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF PHOENIX ARISE INC
Organization’s Mailing Address 1317 N BUENA VISTA AVE
City ORLANDO
State FL
ZIP 32818
Accounting period End 12
Primary contact name LELIA JACKSON-BURCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LELIA JACKSON-BURCH
DIRECTOR
1317 N BUENA VISTA AVE
ORLANDO FL 32818

Officer/Director/Trustee Two

SANDRA OLIVER
OFFICER
1317 N BUENA VISTA AVE
ORLANDO FL 32818

Officer/Director/Trustee Three

BARBARA FRAZIER
OFFICER
1317 N BUENA VISTA AVE
ORLANDO FL 32818

Organization’s website
Organization’s email MSLELIAJB@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 No
Correctness Declaration Yes
Signature Name LELIA JACKSON-BURCH
Signature Title DIRECTOR
Signature Date 3/19/19

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