FORM 1023-EZ for HART INTERDENOMINATIONAL MINISTRY

Field Data
EIN 47-1689379
Case Number EO-2014241-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HART INTERDENOMINATIONAL MINISTRY
Organization’s Mailing Address 490 VICKERY STREET
City HARTWELL
State GA
ZIP 30643
Accounting period End 12
Primary contact name MARTIN MELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWIN SIMMONS
PRESIDENT
490 VICKERY STREET
HARTWELL GA 30643

Officer/Director/Trustee Two

MARTIN MELTON
SECRETARY
1273 ELROD FERRY ROAD
HARTWELL GA 30643

Officer/Director/Trustee Three

GAIL BLACKWELL
DIRECTOR
475 SCOTT MILL ROAD
HARTWELL GA 30643

Officer/Director/Trustee Four

CONNIE MACK BOWERS
DIRECTOR
470 AIRLINE SCHOOL ROAD
HARTWELL GA 30643

Officer/Director/Trustee Five

MATTHEW CAWTHORN
DIRECTOR
PO BOX 881
HARTWELL GA 30643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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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