FORM 1023-EZ for POWER LOVE AND A SOUND MIND MINISTRIES

Field Data
EIN 47-1808488
Case Number EO-2014258-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POWER LOVE AND A SOUND MIND MINISTRIES
Organization’s Mailing Address 924 NATOMA CT
City DISCOVERY BAY
State CA
ZIP 94505
Accounting period End 12
Primary contact name FLOYD GREEN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY HOUSHOLDER
PRESIDENT, DIRECTOR
924 NATOMA CT
DISCOVERY BAY CA 94505

Officer/Director/Trustee Two

PERRY KRUERGER
SECRETARY, DIRECTOR
1080 AUBURN AVE
SAN LEANDRO CA 94579

Officer/Director/Trustee Three

DANIEL PHILLIPS
TREASURER, DIRECTOR
151 CORAL BELL WAY
OAKLEY CA 94561

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2014
Organization Incorporation State CA
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: 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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