FORM 1023-EZ for NEW LIFE DELIVERANCE MINISTRY

Field Data
EIN 10-0914922
Case Number EO-2015168-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW LIFE DELIVERANCE MINISTRY
Organization’s Mailing Address 2182 JOHN B CARTER ROAD
City FAYETTEVILLE
State NC
ZIP 28312
Accounting period End 12
Primary contact name DEWEY MALLOY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEWEY MALLOY
PASTOR-PRESIDENT
2182 JOHN B CARTER ROAD
FAYETTEVILLE NC 28312

Officer/Director/Trustee Two

NATASHA MALLOY
VICE PRESIDENT
2182 JOHN B CARTER ROAD
FAYETTEVILLE MD 28312

Officer/Director/Trustee Three

DEWEY MALLOY SR
BOARD MEMBER
2158 JOHN B CARTER ROAD
FAYETTEVILLE NC 28312

Officer/Director/Trustee Four

CYNTHIA JENKINS
BOARD MEMBER
PO BOX 42921
FAYETTEVILLE NC 28309

Officer/Director/Trustee Five

JAMES BRUNSON
BOARD MEMBER
TRUTH COURT 411F
FAYETTEVILLE NC 28301

Organization’s website
Organization’s email MINISTERDMALLOY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2014
Organization Incorporation State NC
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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