FORM 1023-EZ for OPEN HEARTS HEALING MINDS CORPORATION

Field Data
EIN 85-1111987
Case Number EO-2020311-000056
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPEN HEARTS HEALING MINDS CORPORATION
Organization’s Mailing Address 287 GLASS ROAD
City MOUNT AIRY
State NC
ZIP 27030
Accounting period End 12
Primary contact name JEFFREY R COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY COX
VP OF FINANCE/TREASURER
287 GLASS ROAD
MOUNT AIRY NC 27030

Officer/Director/Trustee Two

TABATHA COX
FOUNDER/PRES/DIR/LICENSED CLINICIAN
287 GLASS ROAD
MOUNT AIRY NC 27030

Officer/Director/Trustee Three

BOBBY COX
VP OF MANAGEMENT
287 GLASS ROAD
MOUNT AIRY NC 27030

Officer/Director/Trustee Four

LEAH HAYES
VP OF MARKETING
1471 RADAR RD
ARARAT NC 27007

Officer/Director/Trustee Five

NICOLE HERNANDEZ
VP ADMIN/CO-DIR/CLINICIAN/SECRETARY
4850 THALES RD APT M
WINSTON SALEM NC 27030

Organization’s website
Organization’s email HHANDM2020@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 TABATHA COX
Signature Title FOUNDER/PRES/DIR/LICENSED CLINICIAN
Signature Date 11/4/2020

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