FORM 1023-EZ for BREAD WINE MINISTRIES INC

Field Data
EIN 81-1236443
Case Number EO-2016035-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAD WINE MINISTRIES INC
Organization’s Mailing Address 521 GOLF VIEW DRIVE
City PEACHTREE CITY
State GA
ZIP 30269
Accounting period End 12
Primary contact name AMY FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENJAMIN SMITH
DIRECTOR
521 GOLF VIEW DRIVE
PEACHTREE CITY GA 30269

Officer/Director/Trustee Two

KELLY SMITH
DIRECTOR
521 GOLF VIEW DRIVE
PEACHTREE CITY GA 30269

Officer/Director/Trustee Three

WILLIAM ASHLEY DASHER
DIRECTOR
316 HARWICH COURT
NASHVILLE TN 37211

Officer/Director/Trustee Four

JOSEPH PATRICK BARRETT
DIRECTOR
1107 ADAMS STREET
DECATUR GA 30030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2016
Organization Incorporation State GA
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 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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