FORM 1023-EZ for WILDHEARTZ

Field Data
EIN 82-2688281
Case Number EO-2020044-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILDHEARTZ
Organization’s Mailing Address 2212 CARDSTON DR
City COLUMBUS
State OH
ZIP 43232
Accounting period End 12
Primary contact name DEIDRA DOTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK TERRELL
BOARD MEMBER
3078 FAIRWOOD AVE
COLUMBUS OH 43207

Officer/Director/Trustee Two

TAMMY STEWART
BOARD MEMBER
1373 MILK ST A
GAHANNA OH 43230

Officer/Director/Trustee Three

DIANE HAWKINS
BOARD MEMBER
3401 QUINLAN BLVD N-120
CANAL WINCHESTER OH 43110

Officer/Director/Trustee Four

JUVON FULTON
BOARD MEMBER
1671 SOUTH BLACKHAWK WAY A
AUROA CO 80012

Officer/Director/Trustee Five

JOSH COMBS
BOARD MEMBER
927 ELIZABETH AVE
COLUMBUS OH 43227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 DERRICK TERRELL
Signature Title BOARD MEMBER
Signature Date 2/11/2020

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