FORM 1023-EZ for UNITED HEARTS MINISTRIES

Field Data
EIN 81-4631475
Case Number EO-2016351-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED HEARTS MINISTRIES
Organization’s Mailing Address PO BOX 221
City VAN BUREN
State IN
ZIP 46991
Accounting period End 12
Primary contact name BRIDGET GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIDGET GREEN
DIRECTOR
9383 E 600 N
VAN BUREN IN 46991

Officer/Director/Trustee Two

ANGELA MOUNSEY
SECRETARY
10938 E 200 N
VAN BUREN IN 46991

Officer/Director/Trustee Three

JOAN YARGER
DIRECTOR
11306 S 600 W-35
MARION IN 46952

Officer/Director/Trustee Four

DAVID KING
DIRECTOR
207 W PLUM ST
VAN BUREN IN 46991-0116

Officer/Director/Trustee Five

VALISHA CRAGUN
DIRECTOR
8711 E 300 S
MARION IN 46953

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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
Signature Title
Signature Date

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