FORM 1023-EZ for WHOLENESS MINISTRIES INTERNATIONAL

Field Data
EIN 81-1073385
Case Number EO-2017195-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHOLENESS MINISTRIES INTERNATIONAL
Organization’s Mailing Address 5 ATHERTON CIRCLE SW
City HUNTSVILLE
State AL
ZIP 35824
Accounting period End 12
Primary contact name ERIC HOLNESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC HOLNESS
PRESDIENT
30674 VANDERBILT ST
HAYWARD CA 94544

Officer/Director/Trustee Two

ANDREW TAYLOR
VICE PRESIDENT
4427 LAKESIDE TRAIL
LITHONIA GA 30038

Officer/Director/Trustee Three

TIFFANY SAUNDERS
SECRETARY
5 ATHERTON CIR SW
HUNTSVILLE AL 35824

Officer/Director/Trustee Four

KRISTEN SHARP
TREASURER
6620 OLD MADISON PIKE
HUNTSVILLE AL 35806

Officer/Director/Trustee Five

JAREN HUMPHREYS
BOARD CHAIRMAN
25729 S SUNRISE DR
MONEE IL 60449

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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