FORM 1023-EZ for HOPE MINISTRIES - HEAVENLY OPTIONSFOR PAIN AND EMPTINESS

Field	Data
EIN	83-1912871
Case Number	EO-2018291-000020
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	HOPE MINISTRIES - HEAVENLY OPTIONSFOR PAIN AND EMPTINESS
Organization’s Mailing Address	1400 LAMPLIGHTER LN
City	FORT WORTH
State	TX
ZIP	76134
Accounting period End	12
Primary contact name	DANIEL LEAF
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

DANIEL LEAF
PRESIDENT
1400 LAMPLIGHTER LN
FORT WORTH TX 76134

Officer/Director/Trustee Two

KATHLEEN LEAF
TREASURER
1400 LAMPLIGHTER LN
FORT WORTH TX 76134

Officer/Director/Trustee Three

BARBARA LUKE
SECRETARY
1400 LAMPLIGHTER LN
FORT WORTH TX 76134

Officer/Director/Trustee Four

JAMES CARTER
DIRECTOR
1400 LAMPLIGHTER LN
FORT WORTH TX 76134

Officer/Director/Trustee Five

RONALD KACSMARYK
DIRECTOR
1400 LAMPLIGHTER LN
FORT WORTH TX 76134

Organization’s website
Organization’s email	DKLEAF@SBCGLOBAL.NET
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	9/19/18
Organization Incorporation State	TX
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	X99 - Religion Related, Spiritual Development 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	DANIEL LEAF
Signature Title	PRESIDENT
Signature Date	10/16/18
EIN	83-1912871
Case Number	EO-2018291-000020
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	HOPE MINISTRIES - HEAVENLY OPTIONS FOR PAIN AND EMPTINESS
Organization’s Mailing Address	1400 LAMPLIGHTER LN
City	FORT WORTH
State	TX
ZIP	76134
Accounting period End	12
Primary contact name	DANIEL LEAF
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00