FORM 1023-EZ for ANOINTED 2 GO MDM

Field Data
EIN 47-1800741
Case Number EO-2014262-000304
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANOINTED 2 GO MDM
Organization’s Mailing Address 210 MERWOOD STREET
City BELLEVUE
State NE
ZIP 68005
Accounting period End 12
Primary contact name DAVID A CHRISTENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAY WEST
PRESIDENT
210 MERWOOD STREET
BELLEVUE NE 68005

Officer/Director/Trustee Two

JASON WEST
SECRETARY
210 MERWOOD STREET
BELLEVUE NE 68005

Officer/Director/Trustee Three

DIANE WEST
TRUSTEE
210 MERWOOD STREET
BELLEVUE NE 68005

Officer/Director/Trustee Four

SHARON FOWLER
TRUSTEE
11605 MIRACLE HILLS DR SUITE 300
OMAHA NE 68154

Officer/Director/Trustee Five

FC FARWELL
TRUSTEE
11605 MIRACLE HILLS DR SUITE 300
OMAHA NE 68154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2014
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: 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 Yes
One Third Support Gifts No
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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