FORM 1023-EZ for SERVANTS HEARTS

Field Data
EIN 82-3222609
Case Number EO-2018045-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVANTS HEARTS
Organization’s Mailing Address 437 BATTLEFIELD ROAD
City PERRYVILLE
State KY
ZIP 40468
Accounting period End 12
Primary contact name RACHAEL MARCUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHAEL MARCUM
OWNER
437 BATTLEFIELD RD
PERRYVILLE KY 40468

Officer/Director/Trustee Two

MAKAYLA BROWN
OWNER
912 PECOS CIRCLE
DANVILLE KY 40422

Officer/Director/Trustee Three

EMBER ANDERSON
DIRECTOR
3595 ALUM SPRINGS ROAD
DANVILLE KY 40422

Organization’s website SERVANTSHEARTS.WEEBLY.COM
Organization’s email SERVANTSHEARTS.LOVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/17
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
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 RACHAEL MARCUM
Signature Title OWNER
Signature Date 2/12/18

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