FORM 1023-EZ for UNIFIED IN MISSION INC

Field Data
EIN 47-3743158
Case Number EO-2015124-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNIFIED IN MISSION INC
Organization’s Mailing Address 1451 LYDIA LANE
City CLAYTON
State CA
ZIP 94517
Accounting period End 12
Primary contact name DEBORAH WENRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COLLIN WENRICH
CO-PRESIDENT
1451 LYDIA LANE
CLAYTON CA 94517

Officer/Director/Trustee Two

AMANDA JOHNSON
CO-PRESIDENT
10507 HIGH GOAL PLACE
BAKERSFIELD CA 93312

Officer/Director/Trustee Three

MARTHA JOHNSON
SECRETARY
10507 HIGH GOAL PLACE
BAKERSFIELD CA 93312

Officer/Director/Trustee Four

DEBORAH WENRICH
TREASURER
1451 LYDIA LANE
CLAYTON CA 94517

Officer/Director/Trustee Five

ROBERT MORRIS
BOARD MEMBER
125 BENNETT DRIVE
LYNCHBURG VA 24501

Organization’s website WWW.UNIFIEDINMISSION.ORG
Organization’s email WENRICH5@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
Organization’s purpose Charitable: Yes
Religious: No
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 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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