FORM 1023-EZ for HEARTS FOR HOMES INC

Field Data
EIN 84-4977649
Case Number EO-2020296-000001
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTS FOR HOMES INC
Organization’s Mailing Address S74W17095 JANESVILLE RD B
City MUSKEGO
State WI
ZIP 53150-9701
Accounting period End 12
Primary contact name MICHAEL PIERSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE ANDERSON
DIRECTOR, PRESIDENT TREASURER
S78W19903 SANCTUARY DRIVE
MUSKEGO WI 53150

Officer/Director/Trustee Two

STEPHANIE ANDERSON
DIRECTOR, VP
S78W19903 SANCTUARY DRIVE
MUSKEGO WI 53130

Officer/Director/Trustee Three

MICHAEL PIERSKI
DIRECTOR, SECRETARY
S74W17095 JANESVILLE RD B
MUSKEGO WI 53150-9701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, 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 MICHAEL PIERSKI
Signature Title DIRECTOR, SECRETARY
Signature Date 10/15/2020

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