FORM 1023-EZ for OUR HEARTS ARE HOME INC

Field Data
EIN 84-2945741
Case Number EO-2020206-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR HEARTS ARE HOME INC
Organization’s Mailing Address 101 GARDENS WAY UNIT 109
City LYNCHBURG
State VA
ZIP 24502
Accounting period End 12
Primary contact name GARY HOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY HOUSE
PRESIDENT/DIRECTOR
101 GARDENS WAY -109
LYNCHBURG VA 24502

Officer/Director/Trustee Two

CHARLES DUKE
TREASURER/DIRECTOR
13501 WEST ROAD
CARMEL IN 46074

Officer/Director/Trustee Three

MARSHA MATANICK
SECRETARY/DIRECTOR
4615 S SELBY STREET
MARION IN 46953

Officer/Director/Trustee Four

ANDREW PUDEWA
DIRECTOR
8799 N 387 ROAD
LOCUST GROVE OK 74352

Organization’s website OURHEARTSAREHOME.ORG
Organization’s email GARY@OURHEARTSAREHOME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 GARY HOUSE
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/22/2020

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