FORM 1023-EZ for CHURCH OF THE LIVING GOD INTERNATIONAL FELLOWSHIPSOUTHAVEN

Field Data
EIN 83-2117145
Case Number EO-2019133-000319
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHURCH OF THE LIVING GOD INTERNATIONAL FELLOWSHIPSOUTHAVEN
Organization’s Mailing Address 1703 MAIN STREET
City SOUTHAVEN
State MS
ZIP 38671
Accounting period End 10
Primary contact name BRENDA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELBERT JONES
ADMINISTRATOR
1542 GOLDEN OAKS LOOP NORTH
SOUTHAVEN MS 38671

Officer/Director/Trustee Two

BRENDA JONES
ASSISTANT ADMINISTRATOR
1542 GOLDEN OAKS LOOP NORTH
SOUTHAVEN MS 38671

Officer/Director/Trustee Three

DEON POLK
BOARD CHAIRMAN
2029 SAINT JAMES DRIVE
MEMPHIS TN 38116

Officer/Director/Trustee Four

FRANCES JONES
FINANCIAL SECRETARY
1498 ARKANSAS
MEMPHIS TN 38109

Officer/Director/Trustee Five

MARY LYNCH
BOARD MEMBER
4964 BERTA ROAD
MEMPHIS TN 38116

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State MS
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELBERT JONES
Signature Title ADMINISTRATOR
Signature Date 5/9/19

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