FORM 1023-EZ for ONE HEART ONE MIND

Field Data
EIN 46-5752933
Case Number EO-2014256-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE HEART ONE MIND
Organization’s Mailing Address 1703 DUNRAVEN ROAD
City BLOOMINGTON
State IL
ZIP 61704-8725
Accounting period End 12
Primary contact name BRIAN CLARICOATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN KEARNEY
PRESIDENT, DIRECTOR
338 W SECOND STREET
EL PASO IL 61738-1025

Officer/Director/Trustee Two

JAMES DRAKE
VICE PRESIDENT, DIRECTOR
51 N ADAMS
EL PASO IL 61738-1312

Officer/Director/Trustee Three

BRIAN CLARICOATES
TREASURER, DIRECTOR
1703 DUNRAVEN ROAD
BLOOMINGTON IL 61704-8725

Officer/Director/Trustee Four

RAYMOND SHELDON
DIRECTOR
19928 WESLEY STREET
DOWNS IL 61736-9489

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2014
Organization Incorporation State IL
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: No
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 No
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 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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