FORM 1023-EZ for THE HEART INSTITUTE OF DAYTON

Field Data
EIN 30-0502367
Case Number EO-2020002-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HEART INSTITUTE OF DAYTON
Organization’s Mailing Address 110 N MAIN ST 500
City DAYTON
State OH
ZIP 45402
Accounting period End 12
Primary contact name STEPHANIE R KNOX CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELOISE BRONER
BOARD CHAIR
110 N MAIN ST 500
DAYTON OH 45402

Officer/Director/Trustee Two

TIMOTHY SNIDER
TREASURER
110 N MAIN ST 500
DAYTON OH 45402

Officer/Director/Trustee Three

JENNA DOWNEY ESQ
SECRETARY
110 N MAIN ST 500
DAYTON OH 45402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2008
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
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 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 TIMOTHY SNIDER
Signature Title TREASURER
Signature Date 12/30/2019

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