FORM 1023-EZ for H E R VISION INC

Field Data
EIN 85-1203955
Case Number EO-2020212-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name H E R VISION INC
Organization’s Mailing Address 13203 SW 28TH STREET
City MIRAMAR
State FL
ZIP 33027
Accounting period End 12
Primary contact name LANA LINDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANA LINDO
PRESIDENT
13203 SW 82TH STREET
MIRAMAR FL 33027

Officer/Director/Trustee Two

ANDREA DIXON
TEASURER
16370 NW 19TH STREET
PEMBROKE PINES FL 33028

Officer/Director/Trustee Three

JEANADELL VERNON THOMPSON
SECRETARY
9471 PLUM HARBOR CIRCLE
TAMARAC FL 33321

Officer/Director/Trustee Four

DENISE GRANT
ADVISOR
7221 SIENNE RIDGE LANE
LAUDERHILL FL 33319

Officer/Director/Trustee Five

AVA THOMPSON
VICE PRESIDENT
7553 SE 26TH COURT
DAVIE FL 33314

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 LANA LINDO
Signature Title PRESIDENT
Signature Date 5/28/2020

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