FORM 1023-EZ for HEARTS IN SERVICE OF ACADIANA

Field Data
EIN 82-4309144
Case Number EO-2018164-000240
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTS IN SERVICE OF ACADIANA
Organization’s Mailing Address 313 GOODWOOD CIRCLE
City LAFAYETTE
State LA
ZIP 70508-7865
Accounting period End 12
Primary contact name CONNIE SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE SANDERS
PRESIDENT
313 GOODWOOD CIRCLE
LAFAYETTE LA 70508-7865

Officer/Director/Trustee Two

LINDA LANDRY
SECRETARY
225 HUNT CLUB RD
LAFAYETTE LA 70507

Officer/Director/Trustee Three

ROSE BOLLICH
TREASURY
100 PROVIDENCE CT
LAFAYETTE LA 70506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/18
Organization Incorporation State LA
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: 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 CONNIE SANDERS
Signature Title PRESIDENT
Signature Date 6/11/18

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