FORM 1023-EZ for IMMACULATE HEART HERMITAGE INC

Field Data
EIN 37-1860980
Case Number EO-2018239-000575
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMMACULATE HEART HERMITAGE INC
Organization’s Mailing Address 909 ST JOSEPH STREET SUITE 101
City RAPID CITY
State NE
ZIP 57701
Accounting period End 6
Primary contact name SR MARY CATHERINE JACOB OCARM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SR JACOB OCARM
DIRECTOR
PO
PIEDMONT SD 57769

Officer/Director/Trustee Two

JOHN ONES
DIRECTOR
9308 S HIGH MEADOWS DR
BLACK HAWK SD 57781

Officer/Director/Trustee Three

JONI ONES
DIRECTOR
9308 S HIGH MEADOWNS DR
BLACK HAWK SD 57781

Officer/Director/Trustee Four

PAUL JACOBS
DIRECTOR
11001 22ST AVENUE
MORRISTOWN SD 57645

Officer/Director/Trustee Five

FR DAN JUELFS
DIRECTOR
PO BOX 110
EAGLE BUTTE SD 57625

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
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 Yes
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 JOHN ONES
Signature Title DIRECTOR
Signature Date 8/23/18

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