FORM 1023-EZ for THERESA BALLEW MINISTRIES

Field Data
EIN 81-3962410
Case Number EO-2016356-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THERESA BALLEW MINISTRIES
Organization’s Mailing Address 11860 S US HWY 41
City GIBSONTON
State FL
ZIP 33534
Accounting period End 12
Primary contact name THERESA GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THERESA GREEN
PRESIDENT
11860 S US HWY 41
GIBSONTON FL 33534

Officer/Director/Trustee Two

CHRISTANTHY CARBAJAL
SECRETARY/TREASURER
11860 S US HWY 41
GIBSONTON FL 33534

Officer/Director/Trustee Three

CHRISTIANA MILLER
DIRECTOR
11860 S US HWY 41
GIBSONTON FL 33534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2016
Organization Incorporation State FL
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: 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
Signature Title
Signature Date

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