FORM 1023-EZ for BURNING HEARTS DISCIPLES INC

Field Data
EIN 47-1836633
Case Number EO-2015103-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNING HEARTS DISCIPLES INC
Organization’s Mailing Address 941 STARBOARD CT
City OSHKOSH
State WI
ZIP 54901-2063
Accounting period End 12
Primary contact name STEPHEN ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN ANDERSON
PRESIDENT
941 STARBOARD CT
OSHKOSH WI 54901-2063

Officer/Director/Trustee Two

BRIAN HELLMANN
VICE PRESIDENT
15424 SOUTH 15TH AVE
PHOENIX AZ 85045-1927

Officer/Director/Trustee Three

MAUREEN ANDERSON
SECRETARY/TREASURER
941 STARBOARD CT
OSHKOSH WI 54901-2063

Officer/Director/Trustee Four

ANTHONY BIRD
BOARD MEMBER
1525 PIERCE AVE
OSHKOSH WI 54902-3354

Officer/Director/Trustee Five

JEAN BUFFINGTON
BOARD MEMBER
1641 SPARKLEBERRY LN
JOHNS ISLAND SC 29455-3814

Organization’s website WWW.BURNINGHEARTSDISCIPLES.ORG
Organization’s email INFO@BURNINGHEARTSDISCIPLES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2014
Organization Incorporation State WI
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: No
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 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 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
Signature Title
Signature Date

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