FORM 1023-EZ for ACTS 1-8 MISSION SOCIETY INC

Field Data
EIN 81-3352665
Case Number EO-2016224-000464
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTS 1-8 MISSION SOCIETY INC
Organization’s Mailing Address 123 BURK LANE
City HARRISON
State OH
ZIP 45030-2009
Accounting period End 12
Primary contact name ANDY W DVARGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDY DVARGA
PRESIDENT/DIRECTOR
123 BURK LANE
HARRISON OH 45030-2009

Officer/Director/Trustee Two

PRISCILLA DVARGA
VICE PRESIDENT/DIRECTOR
123 BURK LANE
HARRISON OH 45030-2009

Officer/Director/Trustee Three

LAURA ST JOHN
DIRECTOR
123 BURK LANE
HARRISON OH 45030-2009

Officer/Director/Trustee Four

STEVE HEINEN
DIRECTOR
9113 LUTHER LANE
CLEVES OH 45002-9773

Officer/Director/Trustee Five

DAWN HEINEN
SECRETARY/TREASURER/DIRECTOR
9113 LUTHER LANE
CLEVES OH 45002-9773

Organization’s website WWW.ANDYDVARGA.LIVEJOURNAL.COM
Organization’s email DVARGAAW@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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