FORM 1023-EZ for HEART OF GOLD MEMORIAL FUND

Field Data
EIN 81-2126156
Case Number EO-2016201-000383
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF GOLD MEMORIAL FUND
Organization’s Mailing Address 7452 MADEIRA PINES DR
City CINCINNATI
State OH
ZIP 45243
Accounting period End 12
Primary contact name RYAN CROWLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN CROWLEY
TREASURER, DIRECTOR
7452 MADEIRA PINES DR
CINCINNATI OH 45243

Officer/Director/Trustee Two

LINDSAY CROWLEY
DIRECTOR
7452 MADEIRA PINES DR
CINCINNATI OH 45243

Officer/Director/Trustee Three

JAMIE MAZZA
PRESIDENT, DIRECTOR
942 MARTINI RD
CINCINNATI OH 45233

Officer/Director/Trustee Four

ERIC MOORE
SECRETARY, DIRECTOR
7452 MADEIRA PINES DR
CINCINNATI OH 45243

Officer/Director/Trustee Five

SCOTT PETERS
CHAIRPERSON, DIRECTOR
8425 GREENLEAF
CINCINNATI OH 45255

Organization’s website HTTP://WWW.HEARTOFGOLDMEMORIALFUND.ORG
Organization’s email HEARTOFGOLDMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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