FORM 1023-EZ for HOLY SPIRIT HOUSE OF PRAYER

Field Data
EIN 47-1295560
Case Number EO-2015026-000358
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLY SPIRIT HOUSE OF PRAYER
Organization’s Mailing Address PO BOX 2073
City PARADISE
State CA
ZIP 95967
Accounting period End 12
Primary contact name ALYNN BRUTSMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALYNN BRUTSMAN
CEO
233 GOOD VIEW DRIVE
PARADISE CA 95969

Officer/Director/Trustee Two

LORETTA READ
SECRETARY
14730 SOUTH PARK
MAGALIA CA 95954

Officer/Director/Trustee Three

RAYBURN WALLACE
CHIEF FINANCIAL OFFICER
1350 PEARSON ROAD
PARADISE CA 95969

Officer/Director/Trustee Four

ROBERT SMITH
BOARD MEMBER
14730 SO PARK
MAGALIA CA 95954

Officer/Director/Trustee Five

CURTIS BRUTSMAN
BOARD MEMBER
233 GOOD VIEW DRIVE
PARADISE CA 95969

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2014
Organization Incorporation State CA
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 Yes
Unrelated Gross Income $1,000 or More Yes
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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