FORM 1023-EZ for HERITAGE FOUNTAIN

Field Data
EIN 13-3922165
Case Number EO-2021099-001148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERITAGE FOUNTAIN
Organization’s Mailing Address 2851 WEST PROSPECT ROAD UNIT 401
City TAMARAC
State FL
ZIP 33309-2594
Accounting period End 12
Primary contact name DEBORAH DUEWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH DUEWSON
PRESIDENT
2851 WEST PROSPECT ROAD UNIT 401
TAMARAC FL 33309-2594

Officer/Director/Trustee Two

CHAUNDOLYNE MACK
SECRETARY
700 COLUMBUS AVE 6G
NEW YORK NY 10025-6622

Officer/Director/Trustee Three

JACQUELINE ERADIRI
TREASURER
244 PENNSYLVANIA AVE
FREEPORT NY 11520-1329

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/1996
Organization Incorporation State NY
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: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name DEBORAH DUEWSON
Signature Title PRESIDENT
Signature Date 3/18/2021

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