FORM 1023-EZ for SHATTERED GLASS MINISTRIES INC

Field Data
EIN 47-4116490
Case Number EO-2016084-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHATTERED GLASS MINISTRIES INC
Organization’s Mailing Address 341 PAINT FORK ROAD
City BARNARDSVILLE
State NC
ZIP 28709-9776
Accounting period End 12
Primary contact name MELISA COATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISA COATES
CEO
347 PAINT FORK RD
BARNARDSVILLE NC 28709-9776

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 No
One Third Support Gifts Yes
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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