FORM 1023-EZ for JERUSALEM GATEWAY INCORPORATION

Field Data
EIN 46-3520335
Case Number EO-2016245-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JERUSALEM GATEWAY INCORPORATION
Organization’s Mailing Address 11925 BURGESS LANE
City FREDERICKSBURG
State VA
ZIP 22407
Accounting period End 12
Primary contact name CHRISTINE FULCROD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS KITTREDGE
PRESIDENT
709 MARY BALL STREET
FREDERICKSBURG VA 22401

Officer/Director/Trustee Two

ARSNEY JAMES MELNICK
VICE PRESIDENT
335 POPLAR ROAD
FREDERICKSBURG VA 22406

Officer/Director/Trustee Three

CHRISTINE FULCROD
TREASURER
9532 AIRDRIE LANE
FREDERICKSBURG VA 22408

Officer/Director/Trustee Four

THOMAS WORMAN
CHIEF OPERATING OFFICER
1023 ALBERT RENNOLDS ROAD
FREDERICKSBURG VA 22401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2013
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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