FORM 1023-EZ for NEW YOUNG AT HEARTS ASSOCIATION

Field Data
EIN 82-2984555
Case Number EO-2017321-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW YOUNG AT HEARTS ASSOCIATION
Organization’s Mailing Address 6747 GARBER AVENUE
City SAN DIEGO
State CA
ZIP 92139-3816
Accounting period End 12
Primary contact name JOHN KEVIN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN KEVIN SMITH
DIRECTOR
6747 GARBER AVE
SAN DIEGO CA 92139-3816

Officer/Director/Trustee Two

LOURDES SMITH
CHIEF FINANCIAL OFFICER
6747 GARBER AVE
SAN DIEGO CA 92139-3816

Officer/Director/Trustee Three

CONNIE BERNARD
SECRETARY
110 SOUTH BELMONT STREET
NATIONAL CITY CA 91950-2110

Organization’s website
Organization’s email JKSMITH6757@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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
Signature Title
Signature Date

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