FORM 1023-EZ for TAKE HEART MISSIONS INC

Field Data
EIN 81-1874307
Case Number EO-2016152-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAKE HEART MISSIONS INC
Organization’s Mailing Address 6004 LOVE MILL ROAD
City MONROE
State NC
ZIP 28110-7003
Accounting period End 12
Primary contact name DIANNE CHIPPS BAILEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSE MORGAN
CHAIRMAN/DIRECTOR
6004 LOVE MILL ROAD
MONROE NC 28110-7003

Officer/Director/Trustee Two

SCOTT CARR
VICE CHAIRMAN/DIRECTOR
6004 LOVE MILL ROAD
MONROE NC 28110-7003

Officer/Director/Trustee Three

ERICKA MORGAN
SECRETARY/DIRECTOR
6004 LOVE MILL ROAD
MONROE NC 28110-7003

Officer/Director/Trustee Four

GILBERT KAYTON
TREASURER/DIRECTOR
6004 LOVE MILL ROAD
MONROE NC 28110-7003

Officer/Director/Trustee Five

KELLIE KAYTON
DIRECTOR
6004 LOVE MILL ROAD
MONROE NC 28110-7003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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
Signature Title
Signature Date

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