FORM 1023-EZ for WEST TENNESSEE PRISON MINISTRY

Field Data
EIN 84-3129255
Case Number EO-2019268-000310
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST TENNESSEE PRISON MINISTRY
Organization’s Mailing Address PO BOX 132
City BURLISON
State TN
ZIP 38015-132
Accounting period End 12
Primary contact name LORI OSBORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONNIE OSBORNE
DIRECTOR
PO BOX 132
BURLISON TN 38015-132

Officer/Director/Trustee Two

LORI OSBORNE OSBORNE
OFFICER
PO BOX 132
BURLISON TN 38015-132

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/19
Organization Incorporation State TN
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 RONNIE OSBORNE
Signature Title DIRECTOR
Signature Date 9/23/19

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