FORM 1023-EZ for INSPIRE HEART INC

Field Data
EIN 83-4511972
Case Number EO-2019148-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSPIRE HEART INC
Organization’s Mailing Address 4020 CEDAR DR
City FARMINGTON
State NM
ZIP 87402-4724
Accounting period End 12
Primary contact name CHRISTY CLUGSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICAH MAGEE
PRESIDENT
3300 MAGESTA PLACE
FARMINGTON NM 87402-4669

Officer/Director/Trustee Two

DANNY CLUGSTON
TREASURER
4020 CEDAR DR
FARMINGTON NM 87402-4724

Officer/Director/Trustee Three

LOLA PARKS
SECRETARY
1129 GRACELAND DR
AZTEC NM 87410-1605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/19
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A40 - Visual Arts Organizations
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 MICAH MAGEE
Signature Title PRESIDENT
Signature Date 5/24/19

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