FORM 1023-EZ for BLESSED ASSURANCE MINISTRY OF GASTONIA INC

Field Data
EIN 37-1707063
Case Number EO-2015002-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLESSED ASSURANCE MINISTRY OF GASTONIA INC
Organization’s Mailing Address 514 HYDE STREET
City KANNAPOLIS
State NC
ZIP 28083
Accounting period End 12
Primary contact name VANESSA PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FREDRICK PERRY
PRESIDENT/PASTOR
514 HYDE STREET
KANNAPOLIS NC 28083

Officer/Director/Trustee Two

VANESSA PERRY
SECRETARY/TREASURER
514 HYDE STREET
KANNAPOLIS NC 28083

Officer/Director/Trustee Three

TONI PERRY
BOARD MEMBER
3162 KEADY MILL LOOP
KANNAPOLIS NC 28081

Officer/Director/Trustee Four

JANICE MORRISON
BOARD MEMBER
906 HORIZON CT NW
CONCORD NC 28027

Officer/Director/Trustee Five

SHEDRICK COLEMAN
BOARD MEMBER
650 EASTLAND LANE
SALISBURY NC 28146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2012
Organization Incorporation State NC
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 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
Signature Title
Signature Date

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