FORM 1023-EZ for WORLD OF BROKEN HEARTS

Field Data
EIN 83-1959638
Case Number EO-2018323-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORLD OF BROKEN HEARTS
Organization’s Mailing Address 206 KIOWA COURT
City WHITE HOUSE
State TN
ZIP 37188
Accounting period End 12
Primary contact name SUHA DABIT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUHA DABIT
PRESIDENT
206 KIOWA COURT
WHITE HOUSE TN 37188

Officer/Director/Trustee Two

TONY DABIT
SECRETARY
7323 BRIGHTWATER OAKS DRIVE
TAMPA FL 33625

Officer/Director/Trustee Three

MARGARET MARTIN
TREASURER
241 WINDSOR TERRACE DRIVE
NASHVILLE TN 37221

Organization’s website WORLDOFBROKENHEARTS.ORG
Organization’s email WOBHEARTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
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 No
Disaster relief assistance No
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 SUHA DABIT
Signature Title PRESIDENT
Signature Date 11/15/18

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