FORM 1023-EZ for HOUSE OF HEART

Field Data
EIN 82-2730561
Case Number EO-2017268-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF HEART
Organization’s Mailing Address 952 EAST WHITE PINE WAY
City SANDY
State UT
ZIP 84094
Accounting period End 12
Primary contact name KARIN LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY GOLDTHORPE
DIRECTOR
952 EAST WHITE PINE WAY
SANDY UT 84094

Officer/Director/Trustee Two

KARIN LARSON
DIRECTOR
12401 SOUTH 450 EAST SUITE B2
DRAPER UT 84020

Officer/Director/Trustee Three

LAURIE ANDERSON
DIRECTOR
8344 SOUTH ETIENNE WAY
SANDY UT 84093

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2017
Organization Incorporation State UT
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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