FORM 1023-EZ for HEARTS HEALED WITH HOPE 3H S INC

Field Data
EIN 47-2520931
Case Number EO-2018045-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTS HEALED WITH HOPE 3H S INC
Organization’s Mailing Address 122 E CHURCH STREET APT 201
City GRAND PRAIRIE
State TX
ZIP 75050
Accounting period End 5
Primary contact name BENITA G KEGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENITA KEGLER
DIRECTOR
122 E CHURCH STREET APT 201
GRAND PRAIRIE TX 75050

Officer/Director/Trustee Two

ELLSWORTH D WARE III
DIRECTOR
4144 LINDELL BLVD STE 104
ST LOUIS MO 63108-2931

Officer/Director/Trustee Three

SHEILA ALLEN
DIRECTOR
543 E GAGE AVE
MEMPHIS TN 38106

Officer/Director/Trustee Four

CASSANDRA BURTON
DIRECTOR
7300 S CONSTANCE AVE
CHICAGO IL 60649

Organization’s website
Organization’s email BGKEGLER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/15
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 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 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 BENITA KEGLER
Signature Title DIRECTOR
Signature Date 2/12/18

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