FORM 1023-EZ for SERVANTS BIBLE SCHOOL

Field Data
EIN 45-4082638
Case Number EO-2015016-000588
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVANTS BIBLE SCHOOL
Organization’s Mailing Address 194 MULKEY LANE
City ARIEL
State WA
ZIP 98603
Accounting period End 12
Primary contact name PATRICIA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROB DORE
PRESIDENT
194 MULKEY LANE
ARIEL WA 98603

Officer/Director/Trustee Two

RUSS RICHARDSON
VICE PRESIDENT
18510 NW REEDER
PORTLAND OR 97231

Officer/Director/Trustee Three

LINDA DORE
SECT-TREASURER
194 MULKEY LANE
ARIEL WA 98603

Organization’s website SERVANTSBIBLESCHOOL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2011
Organization Incorporation State WA
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: 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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