FORM 1023-EZ for I AM HEALED MINISTRIES

Field Data
EIN 84-3270868
Case Number EO-2019281-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM HEALED MINISTRIES
Organization’s Mailing Address 110 AZALEA STREET
City RACELAND
State LA
ZIP 70394
Accounting period End 12
Primary contact name AMANDA HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA HARRISON
DIRECTOR
110 AZALEA STREET
RACELAND LA 70394

Officer/Director/Trustee Two

KAYLA RICHARD
OFFICER
138 SAGEWOOD DR
THIBODAUX LA 70301

Officer/Director/Trustee Three

MAUDIE MCCOY
OFFICER
205 WILLIAM ST
BOUTTE LA 70039

Officer/Director/Trustee Four

CALVIN BALDWIN
OFFICER
305 GOODCHILDRENS STREET
BOUTTE LA 70039

Organization’s website IAMHEALED2@YAHOO.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 AMANDA HARRISON
Signature Title DIRECTOR
Signature Date 10/6/19

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