FORM 1023-EZ for HEARTWORKSINC

Field Data
EIN 84-3414242
Case Number EO-2019303-000465
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTWORKSINC
Organization’s Mailing Address 9001 EAST PLENTYWOOD ROAD
City BENTONVILLE
State AR
ZIP 72712
Accounting period End 12
Primary contact name MARGARET CAROLINE CURRIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD PEARSON
OFFICER
9001
BENTONVILLE AR 72712

Officer/Director/Trustee Two

CATHY PEARSON
DIRECTOR
9001 EAST PLENTYWOOD RD
BENTONVILLE AR 72712

Officer/Director/Trustee Three

MARGARET CURRIER
DIRECTOR
224 SOUTH 2ND STREET
ROGERS AR 72756

Officer/Director/Trustee Four

DEBRA MCDONALD
DIRECTOR
107 RUTH LANE
ROGERS AR 72756

Officer/Director/Trustee Five

JAMIE LANTZSCH
DIRECTOR
2448 PINNACLE HILLS PKWY
ROGERS AR 72758

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 Yes
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 CATHY PEARSON
Signature Title DIRECTOR
Signature Date 10/28/19

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