FORM 1023-EZ for KEEP YOUR HEART MINISTRIES INC

Field Data
EIN 84-3757626
Case Number EO-2020002-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEP YOUR HEART MINISTRIES INC
Organization’s Mailing Address 2421 TOWERING OAK COURT
City LOCUST GROVE
State VA
ZIP 22508
Accounting period End 12
Primary contact name ADAM DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM DAVIS
PRESIDENT
2421 TOWERING OAK COURT
LOCUS GROVE VA 22508

Officer/Director/Trustee Two

SHERRY DAVIS
SECRETARY/TREASURER
2421 TOWERING OAK COURT
LOCUS GROVE VA 22508

Officer/Director/Trustee Three

JERRY DAVIS
BOARD OF DIRECTORS
305 NORTH 15TH AVENUE
HOPEWILL VA 23860

Officer/Director/Trustee Four

DON FORRESTER
BOARD OF DIRECTORS
7200 GARDNER FARM ROAD
SPOTSYLVANIA VA 22551

Officer/Director/Trustee Five

BLAINE WARNER
BOARD OF DIRECTORS
31 HENDRICK AVENUE
MENANDS NY 12204

Organization’s website HTTP://WWW.KYHMINISTRIES.COM
Organization’s email ADAM@KYHMINISTRIES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2019
Organization Incorporation State VA
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 Yes
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 ADAM DAVIS
Signature Title PRESIDENT
Signature Date 12/30/2019

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