FORM 1023-EZ for THE FORMING SPIRIT

Field Data
EIN 84-3892114
Case Number EO-2020016-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FORMING SPIRIT
Organization’s Mailing Address 5011 ROAD C
City BYRING
State NE
ZIP 68325-7103
Accounting period End 12
Primary contact name BRITTNEY M HOLLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK SIPES
PRESIDENT/DIRECTOR
5011 ROAD C
BYRON NE 68325-7103

Officer/Director/Trustee Two

CHRIS HEITMANN
SECRETARY/DIRECTOR
403 WARREN STREET
BYRON NE 68325-7001

Officer/Director/Trustee Three

STEVE HEITMANN
TREASURER/DIRECTOR
4872 HIGHWAY 8
HARDY NE 68943-8805

Officer/Director/Trustee Four

MIKE KIRCHHOFF
DIRECTOR
4752 HIGHWAY 8
HARDY NE 68943-8806

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 PATRICK SIPES
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/14/2020

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