FORM 1023-EZ for JACK HILL MINISTRIES INC

Field Data
EIN 47-5058058
Case Number EO-2016032-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACK HILL MINISTRIES INC
Organization’s Mailing Address 2412 BRYAN GLEN ST
City WICHITA FALLS
State TX
ZIP 76308
Accounting period End 12
Primary contact name JOHN S LA TOUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BERT HUFF
TRUSTEE
3503 HARRISON ST
WICHITA FALLS TX 76308

Officer/Director/Trustee Two

FRED KREBS
TRUSTEE
1311 OSWEGO STREET
COLORADO SPRINGS CO 80904

Officer/Director/Trustee Three

MARK RINEHART
TRUSTEE
4 ROUNDHILL ROAD
DANVILLE TN 46122

Officer/Director/Trustee Four

DAVID HINDS
TRUSTEE
15180 WISER ROAD
FORNEY TX 75126

Officer/Director/Trustee Five

MARK DORSETT
TRUSTEE
1157 RONDS POINTE DRIVE WEST
TALLAHASSEE FL 32312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
One Third Support Gifts No
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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