FORM 1023-EZ for HEARTS TOUCHED CHANGES LIVES- HTCLMINISTRIES

Field Data
EIN 83-1650005
Case Number EO-2019080-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTS TOUCHED CHANGES LIVES- HTCLMINISTRIES
Organization’s Mailing Address 5455 VERNA BLVD UNIT 61446
City JACKSONVILLE
State FL
ZIP 32205
Accounting period End 12
Primary contact name CHERRY R LIGHTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERRY LIGHTNER
EXECUTIVE DIRECTOR
PO BOX 61446
JACKSONVILLE FL 32236

Officer/Director/Trustee Two

SHAWNTEL MACK
DIR/SECRETARY
PO BOX 61446
PO BOX 61446 FL 32236

Officer/Director/Trustee Three

THERESA SANDERS
DIR/TREASURER
PO BOX 61446
PO BOX 61446 FL 32236

Organization’s website
Organization’s email HTCLMINISTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/18
Organization Incorporation State FL
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHERRY LIGHTNER
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/19/19
EIN 83-1650005
Case Number EO-2019080-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEARTS TOUCHED CHANGES LIVES- HTCL MINISTRIES
Organization’s Mailing Address 5455 VERNA BLVD UNIT 61446
City JACKSONVILLE
State FL
ZIP 32205
Accounting period End 12
Primary contact name CHERRY R LIGHTNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERRY LIGHTNER
EXECUTIVE DIRECTOR
PO BOX 61446
JACKSONVILLE FL 32236

Officer/Director/Trustee Two

SHAWNTEL MACK
DIR/SECRETARY
PO BOX 61446
PO BOX 61446 FL 32236

Officer/Director/Trustee Three

THERESA SANDERS
DIR/TREASURER
PO BOX 61446
PO BOX 61446 FL 32236

Organization’s website
Organization’s email HTCLMINISTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/18
Organization Incorporation State FL
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHERRY LIGHTNER
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/19/19

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