FORM 1023-EZ for QUANTUM SPIRITUALITY

Field Data
EIN 85-0982349
Case Number EO-2020133-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUANTUM SPIRITUALITY
Organization’s Mailing Address 1057 MAKAWAO AVE B-102
City MAKAWAO
State HI
ZIP 96768-9469
Accounting period End 12
Primary contact name REVEREND CARLISLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REVEREND ROMA CARLISLE
PRESIDENT
1057 MAKAWAO AVE B-102
MAKAWAO HI 96768-9469

Officer/Director/Trustee Two

REVEREND MELISSA BENNET
VICE PRESIDENT
1036 RAISHER DRIVE
SAINT LOUIS MO 63130

Officer/Director/Trustee Three

REVEREND DR GORDON DAVIS
BOARD MEMBER
1050 WEST CAPITOL AVE 42
WEST SACRAMENTO CA 95691

Officer/Director/Trustee Four

NOEL OVERBAY
SEC/TREAS
2646 ALAOLU PLACE
HAIKU HI 96708

Officer/Director/Trustee Five

ASHERA EDEN
BOARD MEMBER
PO BOX 790805
PAIA HI 96779

Organization’s website WWW.QUANTUMSPIRITUALITY.LIFE
Organization’s email ROMANANDA@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2019
Organization Incorporation State HI
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: No
Scientific: Yes
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 REVEREND ROMA CARLISLE
Signature Title PRESIDENT
Signature Date 5/8/2020

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