FORM 1023-EZ for DEAF HEARTBEAT INC

Field Data
EIN 83-2701728
Case Number EO-2019095-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEAF HEARTBEAT INC
Organization’s Mailing Address 4771 WEST LAKE DRIVE
City CONYERS
State GA
ZIP 30094
Accounting period End 12
Primary contact name SELINA J NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GENE NICHOLS
TREASURER
4771 WEST LAKE DRIVE
CONYERS GA 30094

Officer/Director/Trustee Two

ROXANNE HOY
EXECUTIVE DIRECTOR
180 SOUTHERN SHORES RD
JACKSON GA 30233

Officer/Director/Trustee Three

SELINA NICHOLS
CEO, PRESIDENT
4771 WEST LAKE DRIVE
CONYERS GA 30094

Organization’s website SELINAJNICHOLS.WIXSITE.COM/DEAFHEARTBEAT
Organization’s email SELINAJ.NICHOLS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P87 - Deaf/Hearing Impaired Centers, Services
Organization’s purpose Charitable: No
Religious: No
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SELINA NICHOLS
Signature Title CEO, PRESIDENT
Signature Date 4/3/19

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