FORM 1023-EZ for CLEAN HANDS MINISTRIES

Field Data
EIN 86-2536999
Case Number EO-2021097-001361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAN HANDS MINISTRIES
Organization’s Mailing Address 102 RIDGECREST AVENUE
City BECKLEY
State WV
ZIP 25801
Accounting period End 12
Primary contact name JERRY STAPLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY STAPLES
EXECUTIVE DIRECTOR
102 RIDGECREST AVENUE
BECKLEY WV 25801

Officer/Director/Trustee Two

CASSANDRA STAPLES
ASSOCIATE DIRECTOR
102 RIDGECREST AVENUE
BECKLEY WV 25801

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2021
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
Organization’s purpose Charitable: Yes
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 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 JERRY STAPLES
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/15/2021

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