FORM 1023-EZ for HEARTS INSPIRE

Field Data
EIN 81-2561213
Case Number EO-2017233-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEARTS INSPIRE
Organization’s Mailing Address 2120 ATELIER DRIVE
City JEFFERSON CITY
State MO
ZIP 65109
Accounting period End 12
Primary contact name JILL LILLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL LILLARD
PRESIDENT
2120 ATELIER DRIVE
JEFFERSON CITY MO 65109

Officer/Director/Trustee Two

JENNY SONG-DAVIDSON
TREASURER
5709 DRY CREEK LANE
JEFFERSON CITY MO 65109

Officer/Director/Trustee Three

MICHELLE GENTGES
VICE PRESIDENT
4007 TERRA BELLA DRIVE
JEFFERSON CITY MO 65109

Officer/Director/Trustee Four

JUDY PEROVICH
SECRETARY
5711 RED TAIL DRIVE
LOHMAN MO 65053

Officer/Director/Trustee Five

AMY MEYERS
TRUSTEE
2241 CRAIGMONT
SPRINGFIELD MO 65804

Organization’s website HEARTSINSPIRE.ORG
Organization’s email INFO@HEARTSINSPIRE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2016
Organization Incorporation State MO
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 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 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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