FORM 1023-EZ for HEART BEATZ

Field Data
EIN 47-1808869
Case Number EO-2019036-000685
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART BEATZ
Organization’s Mailing Address 259 BEST STREET
City BEREA
State OH
ZIP 44017
Accounting period End 12
Primary contact name NANCY STAFFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY STAFFORD
PRESIDENT
259 BEST ST
BEREA OH 44017

Officer/Director/Trustee Two

CHASTITY PASSAFIUME
SECRETARY
10719 JIMSON STREET
PROSPECT KY 44059

Officer/Director/Trustee Three

CHARLES STAFFORD
TREASURER
259 BEST STREET
BEREA OH 44017

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/14
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H43 - Heart, Circulatory Research
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NANCY STAFFORD
Signature Title PRESIDENT
Signature Date 1/20/19

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