FORM 1023-EZ for ONE HEART DISABILITY MINISTRIES INC

Field Data
EIN 46-3493341
Case Number EO-2017102-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE HEART DISABILITY MINISTRIES INC
Organization’s Mailing Address 1400 WEST WASHINGTON CENTER ROAD
City FORT WAYNE
State IN
ZIP 46825-4156
Accounting period End 12
Primary contact name CAMI N GROSS - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMI GROSS
PRESIDENT TREASURER SECRETARY DIREC
420 NORTH LINE STREET
CHURUBUSCO IN 46723-1106

Officer/Director/Trustee Two

JOSEPH GROSS
DIRECTOR
1400 WEST WASHINGTON CENTER ROAD
FORT WAYN IN 46825-4156

Officer/Director/Trustee Three

MARK CLARK
DIRECTOR
1400 WEST WASHINGTON CENTER ROAD
FORT WAYNE IN 46825-4156

Organization’s website ONEHEARTDISABILITY.ORG
Organization’s email CAMI@ONEHEARTDISABILITY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2013
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
Donation of funds Yes
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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