FORM 1023-EZ for TEAM HEART MINISTRIES

Field Data
EIN 81-4885065
Case Number EO-2017229-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM HEART MINISTRIES
Organization’s Mailing Address 12246 FARNDON AVE
City CHINO
State CA
ZIP 91710
Accounting period End 4
Primary contact name ZAZETTE SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY MCHASKELL
DIRECTOR
485 E FOOTHILL BLVD APT A349
UPLAND CA 91786

Officer/Director/Trustee Two

ISABEL MCHASKELL
DIRECTOR
485 E FOOTHILL BLVD APT A349
UPLAND CA 91768

Officer/Director/Trustee Three

ZAZETTE SCOTT
DIRECTOR/RECORDER
12246 FARNDON AVE
CHINO CA 91710

Officer/Director/Trustee Four

ALAN CASH
EXECUTIVE DIRECTOR
740 W G ST
ONTARIO CA 91762

Officer/Director/Trustee Five

CASSY SIMONS
DIRECTOR
604 E ARROW HWY
UPLAND CA 91768

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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 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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