FORM 1023-EZ for THE CLIFFORD HEART FOUNDATION INC

Field Data
EIN 85-1565307
Case Number EO-2020188-000933
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CLIFFORD HEART FOUNDATION INC
Organization’s Mailing Address 1419 NW 34TH WAY
City LAUDERHILL
State FL
ZIP 33311
Accounting period End 12
Primary contact name KYTANA PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYTANA PHILLIPS
P
1419 NW 34 WAY
LAUDERHILL FL 33311

Officer/Director/Trustee Two

MICHAEL POPOLA
VP
8320 NW 15 COURT
PEMBROKE PINES FL 33024

Officer/Director/Trustee Three

LANCE THOMPSON
VP
147 SW 27 TERRACE
PLANTATION FL 33325

Officer/Director/Trustee Four

KARLA RAMIREZ
TREASURER
12674 NW 15 STREE
SUNRISE FL 33323

Organization’s website WWW.CLIFFORDHEARTFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - 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 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 KYTANA PHILLIPS
Signature Title P
Signature Date 7/4/2020

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