FORM 1023-EZ for ROBERTOS HEART FOUNDATION

Field Data
EIN 83-3504769
Case Number EO-2020281-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROBERTOS HEART FOUNDATION
Organization’s Mailing Address 5800 HALLRIDGE CRL
City COLUMBUS
State OH
ZIP 43232-6394
Accounting period End 6
Primary contact name LAMONA MARSHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVIN DEAL
CHAIR
326 JAMES RD
COLUMBUS OH 43230-2828

Officer/Director/Trustee Two

HOLLY CABLE
SECRETARY
2029 RIDGEVIEW RD
COLUMBUS OH 43221-2703

Officer/Director/Trustee Three

APRIL FLEMING
DIRECTOR
4076 ADALRIC DR
COLUMBUS OH 43219-6199

Officer/Director/Trustee Four

LAMONA MARSHALL
CEO
HALLRIDGE CRL
COLUMBUS OH 43232-6494

Officer/Director/Trustee Five

LAMAR PEOPLES
COO
3092 E 5TH AVE
COLUMBUS OH 43219-2805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' 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 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 LAMONA MARSHALL
Signature Title CEO
Signature Date 10/5/2020

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