FORM 1023-EZ for HEARTSYNC OF NORTH CAROLINA INC

Field Data
EIN 47-4485371
Case Number EO-2017114-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTSYNC OF NORTH CAROLINA INC
Organization’s Mailing Address 103 BARCLADINE CT
City CARY
State NC
ZIP 27511
Accounting period End 12
Primary contact name J DANIEL BEIRUTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW MILLER
PRESIDENT DIRECTOR
2817 ROSCOMMON DR
TALLAHASSEE FL 32309

Officer/Director/Trustee Two

KAREN PEZDEK
VICE PRESIDENT DIRECTOR
103 BARCLADINE CT
CARY NC 27511

Officer/Director/Trustee Three

MARY LOVINGOOD
SECRETARY TREASURER
817 KENMORE DR
CHAPEL HILL NC 27514

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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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