FORM 1023-EZ for HEART OF MY CITY

Field Data
EIN 47-3116084
Case Number EO-2020283-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF MY CITY
Organization’s Mailing Address PO BOX 508
City MT WASHINGTON
State KY
ZIP 40047
Accounting period End 12
Primary contact name PAMELA Y DENNISON-ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL T ROGERS
BOARD MEMBER
PO BOX 508
MT WASHINGTON KY 40047

Officer/Director/Trustee Two

PAMELA Y DENNISON-ROGERS
BOARD MEMBER
PO BOX 508
MT WASHINGTON KY 40047

Officer/Director/Trustee Three

PATRICK J DOCTER
BOARD MEMBER
PO BOX 508
MT WASHINGTON KY 40047

Organization’s website HEARTOFMYCITY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA Y DENNISON-ROGERS
Signature Title BOARD MEMBER
Signature Date 10/7/2020
EIN 47-3116084
Case Number EO-2016294-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF MY CITY INC
Organization’s Mailing Address P O BOX 508
City MT. WASHINGTON
State KY
ZIP 40047
Accounting period End 12
Primary contact name PAMELA ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL ROGERS
PRESIDENT
254 E WILLIAMS LANE
TAYLORSVILLE KY 40071-7949

Officer/Director/Trustee Two

PAMELA ROGERS
SECRETARY/TREASURER
254 E WILLIAMS LANE
TAYLORSVILLE KY 40071-7949

Officer/Director/Trustee Three

RANDY PACE
VICE-PRESIDENT
648 COW BRANCH ROAD
WEST POINT KY 40177

Organization’s website WWW.HEARTOFMYCITY.ORG
Organization’s email HEARTOFMYCITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2016
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
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 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
Signature Title
Signature Date

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