FORM 1023-EZ for A HEART FOR BIRTHDAYS

Field Data
EIN 47-5438254
Case Number EO-2018262-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HEART FOR BIRTHDAYS
Organization’s Mailing Address 5809 EL CAMPO AVE
City FORT WORTH
State TX
ZIP 76107
Accounting period End 12
Primary contact name ALAN PAGELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH PAGELS
PRESIDENT
5809 EL CAMPO AVE
FORT WORTH TX 76107

Officer/Director/Trustee Two

ALAN PAGELS
TREASURER
5809 EL CAMPO AVE
FORT WORTH TX 76107

Officer/Director/Trustee Three

GLORIA WITTE
SECRETAY
1460 BERN DRIVE
SPRING HILL TN 37174

Officer/Director/Trustee Four

GARIN TRANBERG
DIRECTOR
4324 CLAYTON ROAD WEST
FORT WORTH TX 76116

Officer/Director/Trustee Five

JAY GRANT
DIRECTOR
1302 CONCHO TRAIL
MANSFIELD TX 76063

Organization’s website
Organization’s email HELLO@AHEARTFORBIRTHDAYS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/15
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH PAGELS
Signature Title PRESIDENT
Signature Date 9/17/18

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