FORM 1023-EZ for FALLEN PASTOR INC

Field Data
EIN 82-0605008
Case Number EO-2017061-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FALLEN PASTOR INC
Organization’s Mailing Address 2135 DOGWOOD KELLY RD
City HOPKINSVILLE
State KY
ZIP 42240-8812
Accounting period End 2
Primary contact name RAYMOND CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND CARROLL
PRESIDENT
2135 DOGWOOD KELLY ROAD
HOPKINSVILLE KY 42240-8812

Officer/Director/Trustee Two

BRANDON WATKINS
VICE PRESIDENT
106 NORTH 5TH STREET APT B
LA GRANGE KY 40031-1106

Officer/Director/Trustee Three

ALLISON CARROLL
SECRETARY
2135 DOGWOOD KELLY ROAD
HOPKINSVILLE KY 42240-8812

Officer/Director/Trustee Four

KALA WATKINS
TREASURER
106 NORTH 5TH STREET APT B
LA GRANGE KY 40031-1106

Organization’s website FALLENPASTOR.COM
Organization’s email RAYRAYC17@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2017
Organization Incorporation State KY
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: Yes
Scientific: Yes
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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