FORM 1023-EZ for HEART DISEASE PREVENTION INSTITUTE INC

Field Data
EIN 82-4686404
Case Number EO-2018068-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART DISEASE PREVENTION INSTITUTE INC
Organization’s Mailing Address 20439 N FLETCHER WAY
City PEORIA
State AZ
ZIP 85382
Accounting period End 9
Primary contact name LON TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREG TAYLOR
PRESIDENT
20439 N FLETCHER WAY
PEORIA AZ 85382

Officer/Director/Trustee Two

KRISTIN LEPLEY
VICE PRESIDENT
6064 LINCK CIRCLE
SHEPHERD MT 59442

Officer/Director/Trustee Three

MARILYN SECOR
SECRETARY
691 W VISTA HERMOSA DR
GREEN VALLEY AZ 85614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/18
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 GREG TAYLOR
Signature Title PRESIDENT
Signature Date 3/7/18

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