FORM 1023-EZ for BORROWED HEARTS DAVIESS COUNTY INC

Field Data
EIN 85-3501811
Case Number EO-2021096-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORROWED HEARTS DAVIESS COUNTY INC
Organization’s Mailing Address 1155 TROY ROAD
City WASHINGTON
State IN
ZIP 47501
Accounting period End 12
Primary contact name DEBBIE BICKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE BICKLEY
PRESIDENT
13709 N US HWY 231
ODON IN 47562

Officer/Director/Trustee Two

CHERYL THORNE
VICE PRESIDENT
309 S E 13TH STREET
WASHINGTON IN 47501

Officer/Director/Trustee Three

SUSAN SPAULDING
TREASURER
602 S W 5TH STREET
WASHINGTON IN 47501

Officer/Director/Trustee Four

DANIELLE HOFFMAN
SECRETARY
207 E OAK STREET
WASHINGTON IN 47501

Officer/Director/Trustee Five

KIM CONDER
DIRECTOR
1157 TROY ROAD
WASHINGTON IN 47501

Organization’s website
Organization’s email BORROWEDHEARTSDC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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 SUSAN SPAULDING
Signature Title TREASURER
Signature Date 3/8/2021

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