FORM 1023-EZ for BE BOLD STREET MINISTRIES

Field Data
EIN 82-3480656
Case Number EO-2017328-000331
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BE BOLD STREET MINISTRIES
Organization’s Mailing Address 3837 12TH STREET SE APT 45
City SALEM
State OR
ZIP 97302
Accounting period End 12
Primary contact name ANDREW GAUGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATT MACIERA
DIRECTOR
3837 12TH STREET SE APT 45
SALEM OR 97302

Officer/Director/Trustee Two

JOSH LAIR
OFFICER
1162 5TH STREET NE
SALEM OR 97301

Officer/Director/Trustee Three

JUSTIN MAC
OFFICER
2648 NAUTILUS AVE NE
SALEM OR 97304

Officer/Director/Trustee Four

GARY SCHRECK
OFFICER
653 GLEN CREEK RD NW
SALEM OR 97304

Officer/Director/Trustee Five

ANDREW GAUGER
OFFICER
1455 MARSHALL DR SE
SALEM OR 97302

Organization’s website
Organization’s email BEBOLDSTREETMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2017
Organization Incorporation State OR
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: 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 Yes
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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