FORM 1023-EZ for FROM KEISHAS HEART TO YOUR

Field Data
EIN 86-2360555
Case Number EO-2021093-000714
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FROM KEISHAS HEART TO YOUR
Organization’s Mailing Address 16190 GRIGGS
City DETROIT
State MI
ZIP 48221
Accounting period End 12
Primary contact name CRYSTAL RENEE STAFFNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL STAFFNEY
FOUNDER AND CEO
16190 GRIGGS
DETROIT MI 48221

Officer/Director/Trustee Two

TIFFANY ROLLE
CHAIRWOMAN
1678 WESTWOOD
TROY MI 48083

Officer/Director/Trustee Three

TAMICA DAVIS
TREASURER
9984 FARLREY
REDFORD MI 48239

Officer/Director/Trustee Four

SHAWNA JOHNSON
SECRETARY
7667 GREENVIEW
DETROIT MI 48228

Officer/Director/Trustee Five

VERA WALKER
BOARD MEMBER
21376 GLEN LODGE
FERNDALE MI 48228

Organization’s website
Organization’s email FROMKEISHASHEARTTOYOURS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 CRYSTAL STAFFNEY
Signature Title FOUNDER AND CEO
Signature Date 3/2/2021

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