FORM 1023-EZ for HARVEST OF SOULS MINISTRIES

Field Data
EIN 81-3270211
Case Number EO-2016202-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARVEST OF SOULS MINISTRIES
Organization’s Mailing Address 905 EAST LAFAYETTE STREET
City DOTHAN
State AL
ZIP 36301
Accounting period End 12
Primary contact name LILLIE YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LILLIE YOUNG
DIRECTOR
905 EAST LAFAYETTE STREET
DOTHAN AL 36301

Officer/Director/Trustee Two

TOMMY MOORE
DIRECTOR
600 ARLINGTON AVENUE
DOTHAN AL 36301

Officer/Director/Trustee Three

JAN CHADWICK
DIRECTOR
6310 GLENN LAWRENCE ROAD
ASHFORD AL 36312

Officer/Director/Trustee Four

ANDY GIFFORD
DIRECTOR
1024 COUNTY ROAD 49
HEADLAND AL 36345

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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