FORM 1023-EZ for HEART OF THE CHURCH INSTITUTE

Field Data
EIN 85-2383366
Case Number EO-2021081-000890
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF THE CHURCH INSTITUTE
Organization’s Mailing Address 1 CRESTVIEW WAY
City DOUGLAS
State WY
ZIP 82633
Accounting period End 12
Primary contact name NICOLE BONER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE BONER
PRESIDENT/DIRECTOR
1 CRESTVIEW WAY
DOUGLAS WY 82633

Officer/Director/Trustee Two

ROBERT CHAVEZ
VICE PRESIDENT/DIRECTOR
APARTMENT 316 3555 RIALTO HEIGHTS
CO SPRINGS CO 80907

Officer/Director/Trustee Three

GIGI LEMAN
SECRETARY/TREASURER/DIRECTOR
69 MOSS AGATE ROAD
DOUGLAS WY 82633

Officer/Director/Trustee Four

BETH PETERSON DETRICK
DIRECTOR
3570 WASHAKIE ST
CASPER WY 82609

Organization’s website www.heartofthechurchinstitute.org
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2020
Organization Incorporation State WY
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: No
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 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 NICOLE BONER
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/26/2021

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