FORM 1023-EZ for HERITAGE INTERNATIONAL MINISTRIES

Field Data
EIN 82-1962287
Case Number EO-2020226-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERITAGE INTERNATIONAL MINISTRIES
Organization’s Mailing Address 6847 BEAGLE LANE
City ARLINGTON
State TN
ZIP 38002
Accounting period End 12
Primary contact name CRAYAL VIVION SISUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAYAL SISUSE
FOUNDER
6847 BEAGLE LANE
ARLINGTON TN 38002

Officer/Director/Trustee Two

KRUBAH SISUSE
COFOUNDER
6847 BEAGLE LANE
ARLINGTON TN 38002

Officer/Director/Trustee Three

FANG XIE
MEMBER
6847 BEAGLE LANE
ARLINGTON TN 38002

Organization’s website
Organization’s email KRUVIVI@HERITAGEINTERNATIONALM.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name KRUBAH SISUSE
Signature Title COFOUNDER
Signature Date 8/11/2020
EIN 82-1962287
Case Number EO-2017177-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERITAGE INTERNATIONAL MINISTRIES
Organization’s Mailing Address 6847 BEAGLE LANE
City ARLINGTON
State TN
ZIP 38002
Accounting period End 12
Primary contact name CRAYAL VIVION SISUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE CAROLL
DIRECTOR
6007 GRACE FALLS DR
RICHMOND TX 77407

Officer/Director/Trustee Two

JONATHAN BRADLEY
MEMBER
4726 N MANASSAS
MEMPHIS TN 38107

Officer/Director/Trustee Three

JOI HIBBLER
MEMBER
2016 STEEPLEBROOK
CORDOVA TN 38016

Officer/Director/Trustee Four

MIKE RHODES
COCHAIRMAN
1661 INTERNATIONAL PLACE DR
MEMPHIS TN 38120

Officer/Director/Trustee Five

FREDRICK SMITH
CHAIRMAN
1297 ADELAIDE ST
MEMPHIS TN 38106

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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