FORM 1023-EZ for HEAVEN HOUSE MINISTRIES

Field Data
EIN 80-0851438
Case Number EO-2015265-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEAVEN HOUSE MINISTRIES
Organization’s Mailing Address 20206 SILO LANE
City ZUNI
State VA
ZIP 23898
Accounting period End 12
Primary contact name JUNE TERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUNE TERRY
PRESIDENT
20206 SILO LANE
ZUNI VA 23898

Officer/Director/Trustee Two

PAT COLLINS
TREASURER
15436 LAURELWOOD
CARROLLTON VA 23314

Officer/Director/Trustee Three

DONNA MAYO
SECRETARY
PO BOX 700
WAVERLY VA 23890

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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