FORM 1023-EZ for HEARTLAND ZEN

Field Data
EIN 83-3306341
Case Number EO-2019107-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTLAND ZEN
Organization’s Mailing Address 9648 OLIVE BLVD SUITE 364
City ST LOUIS
State MO
ZIP 63132
Accounting period End 12
Primary contact name WILLIAM HOLCOMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HOLCOMB
PRESIDENT
89 WEST SHERWOOD DRIVE
OVERLAND MO 63114

Officer/Director/Trustee Two

ELIZABETH TUCKER
VICE PRESIDENT AND SECRETARY
APARTMENT 202 3141 LOCUST ST
ST LOUIS MO 63103

Officer/Director/Trustee Three

WILLIAM REYLAND
TREASURER
APARTMENT 209 5041 WATERMAN AVE
ST LOUIS MO 63108

Organization’s website HEARTLANDZEN.ORG
Organization’s email HEARTLANDZENSTL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X50 - Buddhist
Organization’s purpose Charitable: Yes
Religious: Yes
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 WILLIAM HOLCOMB
Signature Title PRESIDENT
Signature Date 4/15/19

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