FORM 1023-EZ for HEAVENS DISCIPLES MINISTRY INC

Field Data
EIN 84-3621988
Case Number EO-2019331-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEAVENS DISCIPLES MINISTRY INC
Organization’s Mailing Address 562 PONCHO ST
City KINGSLAND
State TX
ZIP 78639-4555
Accounting period End 12
Primary contact name CLOYD BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLOYD BROOKS
CEO/PRESIDENT
562 PONCHO STREET
KINGSLAND TX 78639-4555

Officer/Director/Trustee Two

JAY CORENBLITH
BOARD MEMBER
3700 RO DRIVE
SPICEWOOD TX 78669-6792

Officer/Director/Trustee Three

JOASIAS RAMIREZ
BOARD MEMBER
920 MC DONALD DRIVE
MARBLEFALLS TX 78654-7292

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CLOYD BROOKS
Signature Title CEO/PRESIDENT
Signature Date 11/25/19

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