FORM 1023-EZ for SAMARITANS HEART INC
| Field | Data |
|---|---|
| EIN | 86-2610343 |
| Case Number | EO-2021097-001297 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAMARITANS HEART INC |
| Organization’s Mailing Address | 1076 BETHANY PLACE |
| City | GREEN BAY |
| State | WI |
| ZIP | 54304 |
| Accounting period End | 12 |
| Primary contact name | ATTY WILLIAM MCKINLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEROME BADER
PRESIDENT / DIRECTOR
1076 BETHANY PLACE
GREEN BAY WI 54304
Officer/Director/Trustee Two
WILLIAM MCKINLEY
DIRECTOR
111 E PEPPERCORN DRIVE
APPLETON WI 54913
Officer/Director/Trustee Three
CINDY LOU PELNAR
DIRECTOR
1725 JACKSON HOLE CT
GREEN BAY WI 54313
Officer/Director/Trustee Four
PAUL HOCHKAMMER
DIRECTOR
2425 E GOODWIN
MANITOWOC WI 54220
| Organization’s website | HTTPS://WWW.FACEBOOK.COM/SPMMINISTRIESGB |
|---|---|
| Organization’s email | SPCM.GB@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/12/2021 |
| Organization Incorporation State | WI |
| 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: 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 | Yes |
| 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 | JEROME BADER |
| Signature Title | PRESIDENT / DIRECTOR |
| Signature Date | 3/15/2021 |
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