FORM 1023-EZ for STAINED GLASS HEART INC

Field Data
EIN 82-1555273
Case Number EO-2017163-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAINED GLASS HEART INC
Organization’s Mailing Address 511 PETERS ST APT 208
City CALHOUN
State GA
ZIP 30701
Accounting period End 12
Primary contact name ERIN CONAWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN CONAWAY
CHAIR
511 PETERS ST APT 208
CALHOUN GA 30701-3168

Officer/Director/Trustee Two

LESLIE WILBANKS
TREASURER
602 LINDA LANE
CALHOUN GA 30701-2848

Officer/Director/Trustee Three

RYAN JACKSON
SECRETARY
503 ELMIRA LN
MARYVILLE TN 37804-3304

Organization’s website HTTP://STAINEDGLASSHEART.ORG
Organization’s email ERINC@STAINEDGLASSHEART.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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