FORM 1023-EZ for LOST HEARTS FOUNDATION

Field Data
EIN 82-5456709
Case Number EO-2018155-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOST HEARTS FOUNDATION
Organization’s Mailing Address 40133 BANKS ROAD
City GRAFTON
State OH
ZIP 44044
Accounting period End 6
Primary contact name KATHLEEN NORTON FOX ESQ CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALECIA MICHITSCH
PRESIDENT/ TREASURER
40133 BANKS ROAD
GRAFTON OH 44044

Officer/Director/Trustee Two

MICHAEL MILANO
VICE PRESIDENT/ SECRETARY
40133 BANKS ROAD
GRAFTON OH 44044

Officer/Director/Trustee Three

TIMOTHY MICHITSCH
DIRECTOR
27078 GLENSIDE LANE
OLMSTED TOWNSHIP OH 44138

Officer/Director/Trustee Four

SOMER KARIM
DIRECTOR
7636 SARATOGA ROAD
MIDDLEBURG HEIGHTS OH 44130

Officer/Director/Trustee Five

KATHLEEN NORTON FOX
DIRECTOR
40229 BANKS ROAD
GRAFTON OH 44044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 KATHLEEN NORTON FOX
Signature Title DIRECTOR
Signature Date 5/31/18

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