FORM 1023-EZ for TRACES HEART INC

Field Data
EIN 87-1827494
Case Number EO-2021273-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRACES HEART INC
Organization’s Mailing Address 140 PARKER VILLAGE CIR
City PANAMA CITY
State FL
ZIP 32404
Accounting period End 12
Primary contact name KIMBERLY BUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY BUSH
PRESIDENT
140 PARKER VILLAGE CIR
PANAMA CITY FL 32404

Officer/Director/Trustee Two

KAYLA MANNING
TRUSTEE
140 PARKER VILLAGE CIR
PANAMA CITY FL 32404

Officer/Director/Trustee Three

APRIL JONES
VICE PRESIDENT
309 S BERTHE AVE
PANAMA CITY FL 32404

Officer/Director/Trustee Four

HERNESHIA PRESTON
TREASURER
293 NELLE ST
PANAMA CITY FL 32404

Officer/Director/Trustee Five

OVERY HUNT
SECRETARY
864 WEST STREET
PANAMA CITY FL 32404

Organization’s website
Organization’s email TRACESHEART21@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 Yes
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 KIMBERLY BUSH
Signature Title PRESIDENT
Signature Date 9/28/2021

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