FORM 1023-EZ for VICTORIAS GIVING HEART INC

Field Data
EIN 47-3900106
Case Number EO-2015152-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VICTORIAS GIVING HEART INC
Organization’s Mailing Address 1111 E I-65 SERVICE RD S SUITE 208
City MOBILE
State AL
ZIP 36606
Accounting period End 12
Primary contact name PATTY STALLWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATTY STALLWORTH
PRESIDENT
1111 E I-65 SERVICE RD S SUITE 208
MOBILE AL 36606

Officer/Director/Trustee Two

LISA DIAZ
SECRETARY
1111 E I-65 SERVICE RD S SUITE 208
MOBILE AL 36606

Officer/Director/Trustee Three

TRAVIS STALLWORTH
TREASURER
1111 E I-65 SERVICE RD S SUITE 208
MOBILE AL 36606

Organization’s website
Organization’s email Q.CAREGIVERS@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P44 - Homemaker, Home Health Aide
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 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
Signature Title
Signature Date

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