FORM 1023-EZ for 22 HEARTBEATS

Field Data
EIN 84-3530820
Case Number EO-2020051-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 22 HEARTBEATS
Organization’s Mailing Address 23252 KELSEY LANE
City WATERLOO
State NE
ZIP 68069
Accounting period End 12
Primary contact name JOE TRADER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE TRADER
DIRECTOR
23252 KELSEY LANE
WATERLOO NE 68069

Officer/Director/Trustee Two

ERIC EGGINK
DIRECTOR
1527 N 143RD CIRCLE
OMAHA NE 68154

Officer/Director/Trustee Three

CORDERO HANSEN
DIRECTOR
PO BOX 110
KENNARD NE 68034

Officer/Director/Trustee Four

JUSTIN DIGGINS
DIRECTOR
21010 CASTLEROCK LANE
GRETNA NE 68028

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2019
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOE TRADER
Signature Title DIRECTOR
Signature Date 2/18/2020

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