FORM 1023-EZ for HEART OF A CHAMPION PROJECT

Field Data
EIN 84-3355293
Case Number EO-2019290-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF A CHAMPION PROJECT
Organization’s Mailing Address 815 KINGFISHER LN
City CINCINNATI
State OH
ZIP 45246-4713
Accounting period End 6
Primary contact name LYNDA M GROH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE ALVORD
DIRECTOR
11130 ALLENHURST BLVD
CINCINNATI OH 45241

Officer/Director/Trustee Two

PAUL SPLITT
DIRECTOR
600 W NORTH BEND RD
CINCINNATI OH 45224

Officer/Director/Trustee Three

LYNDA M GROH
OFFICER
815 KINGFISHER LANE
CINCINNATI OH 45246-4713

Organization’s website HEARTOFACHAMPIONPROJECT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
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 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 LYNDA M GROH
Signature Title OFFICER
Signature Date 10/15/19

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