FORM 1023-EZ for HEARTS FOR KYLEE FOUNDATION INC

Field Data
EIN 47-3369039
Case Number EO-2015075-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTS FOR KYLEE FOUNDATION INC
Organization’s Mailing Address 2157 SW 151 AVE
City MIRAMAR
State FL
ZIP 33027
Accounting period End 12
Primary contact name TRACE JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACE JONES
PRESIDENT
2157 SW 151 AVE
MIRAMAR FL 33027-4358

Officer/Director/Trustee Two

CHARLES SAFFER
SECRETARY
2201 NW 102 WAY
PEMBROKE PINES FL 33026-1825

Officer/Director/Trustee Three

STEPHEN SWAFFORD
TREASURER
5729 SW 114 AVENUE
COOPER CITY FL 33330-4569

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 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
Signature Title
Signature Date

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