FORM 1023-EZ for SERVANT HEARTS INC

Field Data
EIN 82-2656043
Case Number EO-2017258-000038
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVANT HEARTS INC
Organization’s Mailing Address 320 WEST 14TH STREET
City JUNCTION CITY
State KS
ZIP 66441-2310
Accounting period End 12
Primary contact name CRYSTAL DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL DAVIS
PRESIDENT
320 WEST 14TH STREET
JUNCTION CITY KS 66441-2310

Officer/Director/Trustee Two

DAWN GALLON
SECRRETARY
5559 VINTAGE VIEW BLVD
LAKELAND FL 33812-3097

Officer/Director/Trustee Three

SHANTELLE MEANS
VICE PRESIDENT
1330 FOGARTY DRIVE
JUNCTION CITY KS 66441-2072

Officer/Director/Trustee Four

SHIRLEY SHORT
MEMBER
210 CLINTON AVENUE 7D
BROOKLYN NY 11205-3428

Officer/Director/Trustee Five

JYARLAND DANIELS
TREASURER
6620 RIDGEFIELD 202
WEST BLOOMFIELD MI 48322-4929

Organization’s website
Organization’s email SERVANTHEARTS143@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2017
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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