FORM 1023-EZ for OASIS MONTAGE MINISTRIES INC

Field Data
EIN 47-5503452
Case Number EO-2018263-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OASIS MONTAGE MINISTRIES INC
Organization’s Mailing Address 180 BRIDGESTONE COVE
City FAYETTEVILLE
State GA
ZIP 30215-8159
Accounting period End 12
Primary contact name CLARICE CAROLYN JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARICE CAROLYN JONES
CHAIRMAN
180 BRIDGESTONE COVE
FAYETTEVILLE GA 30215-8159

Officer/Director/Trustee Two

LONNIE ROUSER
VICE CHAIRMAN
957 BROOMFIELD
FOUNTAIN CO 80817-4121

Officer/Director/Trustee Three

ADNITA WILLIAMS
SECRETARY
138 PLANTATION TRAIL
STATESBORO GA 30458-9170

Officer/Director/Trustee Four

COURTNEY CLARKE
TREASURER
4644 POWDER SPRINGS DALLAS RD 2235
POWDER SPRINGS GA 30127-7702

Officer/Director/Trustee Five

JAMES MARK JONES JR
OFFICER
180 BRIDGESTONE COVE
FAYETTEVILLE GA 30215-8159

Organization’s website
Organization’s email OASISSPEAKS45@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/15
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
Correctness Declaration Yes
Signature Name CLARICE CAROLYN JONES
Signature Title CHAIRMAN
Signature Date 9/18/18
EIN 47-5503452
Case Number EO-2015316-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OASIS MONTAGE MINISTRIES INC
Organization’s Mailing Address 180 BRIDGESTONE COVE
City FAYETTEVILLE
State GA
ZIP 30215-8159
Accounting period End 12
Primary contact name CAROLYN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN MOORE
CHAIRMAN
180 BRIDGESTONE COVE
FAYETTEVILLE GA 30215-8159

Officer/Director/Trustee Two

LONNIE ROUSER
SECRETARY
957 BROOMFIELD
FOUNTAIN CO 80817-4121

Officer/Director/Trustee Three

ADNITA WILLIAMS
TREASURER
138 PLANTATION TRAIL
STATESBORO GA 30458-9170

Organization’s website
Organization’s email OASISSPEAKS45@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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