FORM 1023-EZ for NATIONAL URBAN MINISTRY ASSOCIATION

Field Data
EIN 47-3341046
Case Number EO-2015069-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL URBAN MINISTRY ASSOCIATION
Organization’s Mailing Address 6559 ROYAL VALLEY COVE
City BARTLETT
State TN
ZIP 38135
Accounting period End 12
Primary contact name JIM HARBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM HARBIN
PRESIDENT
6559 ROYAL VALLEY COVE
BARTLETT TN 38135

Officer/Director/Trustee Two

BEVERLY HARBIN
SECRETARY
6559 ROYAL VALLEY COVE
BARTLETT TN 38135

Officer/Director/Trustee Three

BOBBY GREEN
BOARD MEMBER
114 COTTOWNWOOD DRIVE
SUMMERVILLE SC 29483

Organization’s website WWW.NATIONALURBANMINISTRYASSOCIATION.ORG
Organization’s email JIM.HARBIN@NATIONALURBANMINISTRYASSOCIATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2013
Organization Incorporation State TN
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 Yes
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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