FORM 1023-EZ for HEARTBEAT MOVEMENT

Field Data
EIN 47-4639160
Case Number EO-2016319-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTBEAT MOVEMENT
Organization’s Mailing Address 11930 KLING ST APT 20
City VALLEY VILLAGE
State HI
ZIP 91607-4071
Accounting period End 12
Primary contact name JORY CUMMINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONELLE LAYFIELD
PRSIDENT- DIRECTOR
11930 KLING ST APT 20
VALLEY VILLAGE CA 91607-4071

Officer/Director/Trustee Two

JORY CUMMINS
TREASURER- DIRECTOR
44-155-1 LAHA ST
KANEOHE HI 96744-2621

Officer/Director/Trustee Three

JUDY SCOVILLE-LAYFIELD
SECRETARY- DIRECTOR
46-051 KONOHIKI ST 3755
KANEOHE HI 96744-6109

Officer/Director/Trustee Four

ASHLEY LAYFIELD
DIRECTOR
11930 KLING ST APT 20
VALLEY VILLAGE CA 91607-4071

Officer/Director/Trustee Five

LINDA CARTWRIGHT
DIRECTOR
11930 KLING ST APT 20
VALLEY VILLAGE CA 91607-4071

Organization’s website WWW.THEHEARTBEATMOVEMENT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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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