FORM 1023-EZ for MISSION OF THE HEART FOUNDATION INC

Field Data
EIN 85-3969659
Case Number EO-2021022-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION OF THE HEART FOUNDATION INC
Organization’s Mailing Address 2451 BRICKELL AVE APT 3M
City MIAMI
State FL
ZIP 33129-2432
Accounting period End 12
Primary contact name ERIC P GROS DUBOIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA DUQUE
PRESIDENT AND DIRECTOR
2451 BRICKELL AVE APT 3M
MIAMI FL 33129-2432

Officer/Director/Trustee Two

DEIRDRE NERO
SECRETARY AND DIRECTOR
4640 SW 14TH ST
MIAMI FL 33134-2735

Officer/Director/Trustee Three

ERIC GROS DUBOIS
TREASURER AND DIRECTOR
4640 SW 14TH ST
MIAMI FL 33134-2735

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 No
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 SANDRA DUQUE
Signature Title PRESIDENT AND DIRECTOR
Signature Date 11/24/2020

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