FORM 1023-EZ for HEART OF SULLIVAN INC

Field Data
EIN 81-4263204
Case Number EO-2018039-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF SULLIVAN INC
Organization’s Mailing Address 32 N COURT ST
City SULLIVAN
State IN
ZIP 47882
Accounting period End 12
Primary contact name KRISTI BURKHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTI BURKHART
PRESIDENT
32 N COURT ST
SULLIVAN IN 47882

Officer/Director/Trustee Two

JACK KRUMREICH
VICE PRESIDENT
32 N COURT ST
SULLIVAN IN 47882

Officer/Director/Trustee Three

JAMIE LAMB
SECRETARY
32 N COURT ST
SULLIVAN IN 47882

Officer/Director/Trustee Four

TONY BURKHART
TREASURER
32 N COURT ST
SULLIVAN IN 47822

Organization’s website
Organization’s email HEARTOFSULLIVAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/17
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 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 KRISTI BURKHART
Signature Title PRESIDENT
Signature Date 2/6/18

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