FORM 1023-EZ for HEART WALK MINISTRIES INC

Field Data
EIN 20-4676409
Case Number EO-2015044-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART WALK MINISTRIES INC
Organization’s Mailing Address 197 BROOKHOLLOW DRIVE
City PELHAM
State AL
ZIP 35124
Accounting period End 12
Primary contact name HEATHER D LYBRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE GOODNER
PRESIDENT
112 OAKBROOKE LANE
ALABASTER AL 35007

Officer/Director/Trustee Two

JAN HOLMES
VICE PRESIDENT
6093 WILLIAM O LANE
GARDENDALE AL 35071-2242

Officer/Director/Trustee Three

DEBBIE BULLOCK
SECRETARY
901 JONATHAN CT
WEATHERFORD TX 76086-6343

Officer/Director/Trustee Four

MYRA FABIAN
TREASURER
5159 COLONIAL PARK ROAD
BIRMINGHAM AL 35242

Officer/Director/Trustee Five

HEATHER LYBRAND
DIRECTOR
197 BROOKHOLLOW DRIVE
PELHAM AL 35124

Organization’s website WWW.HEARTWALKMINISTRIES.COM
Organization’s email HEATHER@HEARTWALK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2006
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
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 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 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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