FORM 1023-EZ for INSIGHT WORLD OUTREACH MINISTRIES

Field Data
EIN 84-3681771
Case Number EO-2019322-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSIGHT WORLD OUTREACH MINISTRIES
Organization’s Mailing Address PO BOX 215
City SUNNYSIDE
State GA
ZIP 30284
Accounting period End 12
Primary contact name JASON COUSSONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL COUSSONS
PRESIDENT
155 FLOYD LANE
HAMPTON GA 30228

Officer/Director/Trustee Two

STACEY COUSSONS
VICE PRESIDENT
155 FLOYD LANE
HAMPTON GA 30228

Officer/Director/Trustee Three

THOMAS SIZEMORE
CONSTRUCTION ADVISOR
149 SILVER DOLLAR ROAD
BARNESVILLE GA 30204

Officer/Director/Trustee Four

STEPHANIE HURT
CFO
7027 NEW HOPE ROAD
MILNER GA 30257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/19
Organization Incorporation State GA
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 MICHAEL COUSSONS
Signature Title PRESIDENT
Signature Date 11/14/19

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