FORM 1023-EZ for CONNECTING HEARTS

Field Data
EIN 83-4197530
Case Number EO-2019101-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONNECTING HEARTS
Organization’s Mailing Address 3029 TEAKWOOD LANE
City HERRIN
State MD
ZIP 62948
Accounting period End 12
Primary contact name CHARLES BRINKMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY BRIAN
PRESIDENT
3626 KEVIN RYAN DRIVE
BATON ROUGE LA 70816

Officer/Director/Trustee Two

JILL BARNES
VICE PRESIDENT
3030 BOGOTA PLACE
DULLAS VA 20189

Officer/Director/Trustee Three

HEATHER DEMPSEY
TREASURER
3029 TEAKWOOD LANE
HERRIN IL 62948

Officer/Director/Trustee Four

CHARLES BRINKMAN
SECRETARY
725 BREEZY LAKE WAY
SYKESVILLE MD 21784

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Correctness Declaration Yes
Signature Name CHARLES BRINKMAN
Signature Title SECRETARY
Signature Date 4/9/19

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