FORM 1023-EZ for LIAMS HEART INC

Field Data
EIN 86-3880263
Case Number EO-2021197-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIAMS HEART INC
Organization’s Mailing Address 423 DEAUVILLE PKWY
City LINDENHURST
State NY
ZIP 11757
Accounting period End 12
Primary contact name MARGO KANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE MCQUILLAN
EXEC DIR & PRES & FNDR
423 DEAUVILLE PKWY
LINDENHURST NY 11757

Officer/Director/Trustee Two

SEAN MCQUILLAN
TREASURER & DIRECTOR
423 DEAUVILLE PKWY
LINDENHURST NY 11757

Officer/Director/Trustee Three

JANET RAIDER
SECRETARY & DIRECTOR
2648 MONTAUK AVE
MERRICK NY 11566

Officer/Director/Trustee Four

DEBRA MCQUILLAN
SCHOLARSHIPS OFFICER
46 KETCHAM AVE
AMITYVILLE NY 11701

Officer/Director/Trustee Five

JESSICA MCQUILLAN
FUNDRAISING OFFICER
750 SHORE RD
LONG BEACH NY 11561

Organization’s website WWW.LIAMSHEART.COM
Organization’s email INFO@LIAMSHEART.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 MICHELLE MCQUILLAN
Signature Title EXEC DIR & PRES & FNDR
Signature Date 7/14/2021

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