FORM 1023-EZ for HEARING HEROES

Field Data
EIN 81-3665322
Case Number EO-2016270-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARING HEROES
Organization’s Mailing Address 449 CUMBERLAND RIDGE
City MADISON
State MS
ZIP 39110
Accounting period End 12
Primary contact name VICTORIA KIVLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTORIA KIVLAN
BOARD OF DIRECTORS MEMBER
1303 EVANGELINE DRIVE
PICAYUNE MS 39466

Officer/Director/Trustee Two

NICOLA RUSHING
BOARD OF DIRECTORS MEMBER
744 SHADOOWD DRIVE
NASHVILLE TN 37205

Officer/Director/Trustee Three

KATHERINE KREN
BOARD OF DIRECTORS MEMBNER
305 CITY VIEW DRIVE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Four

ANDREA PEREZ
BOARD OF DIRECTORS MEMBER
2426 PRESCOTT STREET
CORPUS CHRISTI TX 78404

Officer/Director/Trustee Five

MATTHEW KIVLAN
BOARD OF DIRECTORS MEMBER
1303 EVANGELINE DRIVE
PICAYUNE MS 39466

Organization’s website
Organization’s email HEARINGHEROS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical 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 Yes
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
Signature Title
Signature Date

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