FORM 1023-EZ for MENDING HEARTS FOUNDATION

Field Data
EIN 85-2685549
Case Number EO-2020276-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENDING HEARTS FOUNDATION
Organization’s Mailing Address PO BOX 151
City MT VERNON
State TX
ZIP 75457
Accounting period End 12
Primary contact name KRISTEN WORTHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN WORTHAM
PRESIDENT/DIRECTOR
711 MILLER ST
MOUNT VERNON TX 75457-3714

Officer/Director/Trustee Two

BRANDY LUCAS
TREASURER/DIRECTOR
101 NORTH HEIGHTS BLVD
OMAHA TX 75571

Officer/Director/Trustee Three

SHERRY KEENER
SECRETARY/DIRECTOR
PO BOX 1404
MOUNT VERNON TX 75457

Organization’s website
Organization’s email KRISLEA2280@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 KRISTEN WORTHAM
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/30/2020

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