FORM 1023-EZ for BACKPACK MINISTRY INC

Field Data
EIN 47-1895897
Case Number EO-2014267-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKPACK MINISTRY INC
Organization’s Mailing Address 319 A UNIONVILLE INDIAN TRAIL ROAD
City INDIAN TRAIL
State NC
ZIP 28079
Accounting period End 12
Primary contact name LARRY HELMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LARRY HELMS
DIRECTOR
319A UNIONVILLE INDIAN TRAIL ROAD
INDIAN TRAIL NC 28079

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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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