FORM 1023-EZ for AUNT MOMS HEART INC

Field Data
EIN 83-1280632
Case Number EO-2018204-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUNT MOMS HEART INC
Organization’s Mailing Address PO BOX 760
City FORT WHITE
State FL
ZIP 32038
Accounting period End 12
Primary contact name DANA BRADY-GIDDENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW HUMPHRIES
PRESIDENT
956 SW TIMUQUA TERRACE
FORT WHITE FL 32038

Officer/Director/Trustee Two

MONTINE HUMPHRIES
VICE PRESIDENT
956 SW TIMUQUA TERRACE
FORT WHITE FL 32038

Officer/Director/Trustee Three

DANA BRADY-GIDDENS
SECRETARY/TREASURER
727 SW HUGH LOOP
FORT WHITE FL 32038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 DANA BRADY-GIDDENS
Signature Title SECRETARY/TREASURER
Signature Date 7/19/18

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