FORM 1023-EZ for HAVE A HEART INC

Field Data
EIN 47-5103709
Case Number EO-2016091-000609
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVE A HEART INC
Organization’s Mailing Address 24 KAREN ROAD
City WAKEFIELD
State MA
ZIP 01880-3732
Accounting period End 5
Primary contact name ROBERT PALMIERI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT PALMIERI
PRESIDENT
24 KAREN ROAD
WAKEFIELD CT 01880-3732

Officer/Director/Trustee Two

DALE JASINSKI
TREASURER
55 BUTTONWOOD CIRCLE
CHESHIRE CT 06410

Officer/Director/Trustee Three

DAVID TOMCZYK
SECRATARY
1401 ASPEN GLEN DRIVE
HAMDEN CT 06518-2601

Officer/Director/Trustee Four

PAMELA PARTRIDGE WEST
DIRECTOR
9 WHITEHALL PLACE
FARMINGTON CT 06032

Officer/Director/Trustee Five

LORI BUDNICK
DIRECTOR
221 S SLOPE DR
KENSINGTON CT 06037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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