FORM 1023-EZ for ADAM RESTORED MINISTRIES INC

Field Data
EIN 81-4974254
Case Number EO-2017046-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADAM RESTORED MINISTRIES INC
Organization’s Mailing Address 742 MCKNIGHT DRIVE SUITE 225
City KNIGHTDALE
State NC
ZIP 27545-7764
Accounting period End 12
Primary contact name CHARLTON ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLTON ALEXANDER
CEO/PRESIDENT/DIRECTOR
305 CLIFFVIEW DRIVE
KNIGHTDALE NC 27545-7743

Officer/Director/Trustee Two

DONALD JACKSON
VICE PRESIDENT
1007 DARTFORD LANE
BOWIE MD 20721-3237

Officer/Director/Trustee Three

ALICE ALEXANDER
SECRETARY/TREASURER
305 CLIFFVIEW DRIVE
KNIGHTDALE NC 27545-7743

Organization’s website WWW.ADAMRESTOREDMINISTRIES.ORG
Organization’s email CHARLTON@ADAMRESTOREDMINISTRIES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 Yes
Donation of funds Yes
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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