FORM 1023-EZ for HESHIMA INC

Field Data
EIN 81-1553331
Case Number EO-2016247-000013
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HESHIMA INC
Organization’s Mailing Address 12609 ROESLER RD
City NEEDVILLE
State TX
ZIP 77461-9239
Accounting period End 12
Primary contact name MISTY NEWSOME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MISTY NEWSOME
EXECUTIVE DIRECTOR
12609 ROESLER RD
NEEDVILLE TX 77461

Officer/Director/Trustee Two

MICHELE ALVERSON
ASST. EXECUTIVE DIRECTOR
6300 BROOKSTONE DRIVE
ARLINGTON TX 76001

Officer/Director/Trustee Three

MITCH ALVERSON
DIRECTOR
6300 BROOKSTONE DRIVE
ARLINGTON TX 76001

Officer/Director/Trustee Four

MINDY CHURCHILL
DIRECTOR
700 MANLEY ST
EDEN NC 27288

Officer/Director/Trustee Five

MANDIE EICHENLAUB
DIRECTOR
6607 CINDY LANE
HOUSTON TX 77008

Organization’s website HTTP://HESHIMA.WEEBLY.COM/
Organization’s email HESHIMAMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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