FORM 1023-EZ for HEART MOUNTAIN MINISTRIES

Field Data
EIN 83-2959013
Case Number EO-2019288-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART MOUNTAIN MINISTRIES
Organization’s Mailing Address 145 LIGE ROAD
City CROSSVILLE
State TN
ZIP 38555
Accounting period End 12
Primary contact name ROBERT W FISK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY KRUS
PRESIDENT
4148 QUEENSLAND WAY
PINCKNEY MI 48169

Officer/Director/Trustee Two

ROBERT FISK
VICE PRESIDENT/SECRETARY
145 LIGE ROAD
CROSSVILLE TN 38555

Officer/Director/Trustee Three

ROBERT MATSURA
TREASURER
7182 TERRELL
WATERFORD MI 48329

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 ROBERT FISK
Signature Title VICE PRESIDENT/SECRETARY
Signature Date 10/10/19

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