FORM 1023-EZ for BLEEDING HEARTS FOUNDATION

Field Data
EIN 47-1006551
Case Number EO-2014239-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLEEDING HEARTS FOUNDATION
Organization’s Mailing Address 2011 SOUTH 1600 WEST
City WOODS CROSS
State UT
ZIP 84087
Accounting period End 12
Primary contact name TRACY BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSHUA ELLIS
DIRECTOR
24333 N 27TH ST
PHOENIX AZ 85024

Officer/Director/Trustee Two

TRACY BARNES
INCORPORATOR
24333 N 27TH ST
PHOENIX AZ 85024

Officer/Director/Trustee Three

STEPHEN BARNES
DIRECTOR
2011 SOUTH 1600 WEST
WOODS CROSS UT 84087

Organization’s website BLEEDINGHEARTSFOUNDATION.WEEBLY.COM
Organization’s email BLEEDINGHEARTSFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Disaster relief assistance Yes
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
Signature Title
Signature Date

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