FORM 1023-EZ for SAM DEWALD MINISTRIES

Field Data
EIN 83-1359050
Case Number EO-2018274-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAM DEWALD MINISTRIES
Organization’s Mailing Address 6401 BERKSHIRE LN N
City MAPLE GROVE
State MN
ZIP 55311
Accounting period End 12
Primary contact name SAM DEWALD STEPHEN - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM DEWALD STEPHEN
PRESIDENT
6401 BERKSHIRE LN N
MAPLE GROVE MN 55311

Officer/Director/Trustee Two

SUGANTHI SAM
VICE-PRESIDENT
6401 BERKSHIRE LN N
MAPLE GROVE MN 55311

Officer/Director/Trustee Three

GAIL GELDERT
SECRETARY & TREASURER
1046 MEADOW STREET
COLOGNE MN 55322

Organization’s website SAMDEWALD.ORG
Organization’s email INFO@SAMDEWALD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/18
Organization Incorporation State MN
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: 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 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 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 SAM DEWALD STEPHEN
Signature Title PRESIDENT
Signature Date 9/27/18

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