FORM 1023-EZ for PLATTEVILLE HOUSE OF PRAYER INC

Field Data
EIN 85-0877079
Case Number EO-2020122-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLATTEVILLE HOUSE OF PRAYER INC
Organization’s Mailing Address 90 E MINERAL ST
City PLATTEVILLE
State WI
ZIP 53818
Accounting period End 12
Primary contact name JORDAN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN MILLER
OFFICER
3479 CTY RD M
BOSCOBEL WI 53805

Officer/Director/Trustee Two

ASHLEY MILLER
OFFICER
3479 CTY RD M
BOSCOBEL WI 53805

Officer/Director/Trustee Three

STEVEN HOLDEN
OFFICER
8402 BLUFF RD
LANCASTER WI 53813

Officer/Director/Trustee Four

GLENDA HOLDEN
OFFICER
8402 BLUFF RD
LANCASTER WI 53813

Organization’s website WWW.PVILLEHOP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 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 JORDAN MILLER
Signature Title OFFICER
Signature Date 4/29/2020

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