FORM 1023-EZ for HEARTS OF OHIO

Field Data
EIN 82-1552087
Case Number EO-2017156-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTS OF OHIO
Organization’s Mailing Address 450 CHAUCER RD
City DAYTON
State OH
ZIP 45431-2009
Accounting period End 6
Primary contact name JESSE PUTERBAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE PUTERBAUGH
DIRECTOR
450 CHAUCER RD
DAYTON OH 45431-2009

Officer/Director/Trustee Two

PAMELA ANDERSON
OFFICER
450 CHAUCER RD
DAYTON OH 45431-2009

Officer/Director/Trustee Three

TINA JOSTBERNS
TREASURER
271 MILLS PLACE
DAYTON OH 45036-8990

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 Yes
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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