FORM 1023-EZ for OPEN HEART MINISTRIES

Field Data
EIN 47-2091758
Case Number EO-2014297-000632
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPEN HEART MINISTRIES
Organization’s Mailing Address 4307 MOONBEAM DR
City COLORADO SPRINGS
State CO
ZIP 80916
Accounting period End 12
Primary contact name ADELL HARTWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADELL HARTWAY
PRESIDENT/DIRECTOR
4307 MOONBEAM DR
COLORADO SPRINGS CO 80916

Officer/Director/Trustee Two

LYSCHEL HARTWAY
VICE-PRESIDENT/DIRECTOR
4307 MOONBEAM DR
COLORADO SPRINGS CO 80916

Officer/Director/Trustee Three

LISBETH DAWKINS
TREASURER/DIRECTOR
4945 MARK DABLING BLVD LOT 110
COLORADO SPRINGS CO 80918

Organization’s website N/A
Organization’s email ADELLNOAH@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Donation of funds Yes
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 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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