FORM 1023-EZ for JERMAINES HEART INC

Field Data
EIN 84-3484187
Case Number EO-2021099-000934
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JERMAINES HEART INC
Organization’s Mailing Address 18627 OLD TRIANGLE ROAD SUITE 155
City TRIANGLE
State VA
ZIP 22172
Accounting period End 12
Primary contact name EMMA JEAN BLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EMMA JEAN BLAND
DIRECTOR
18106A PURVIS DRIVE APT A
TRIANGLE VA 22172

Officer/Director/Trustee Two

ERNESTINE RENE JONES
DIRECTOR
18165 PURVIS DRIVE APT B
TRIANGLE VA 22172

Organization’s website HTTPS://JERMAINESHEART.NET
Organization’s email EBLAND@BLANDTHEFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 EMMA JEAN BLAND
Signature Title DIRECTOR
Signature Date 3/18/2021

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