FORM 1023-EZ for SELAH MISSION

Field Data
EIN 81-1936485
Case Number EO-2016088-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SELAH MISSION
Organization’s Mailing Address 1416 MARTIN ST
City HOT SPRINGS
State CA
ZIP 57747-3087
Accounting period End 12
Primary contact name PAUL STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL STANLEY
PRESIDENT
1416 MARTIN ST
HOT SPRINGS SD 57747-3087

Officer/Director/Trustee Two

ALEX LARSON
VICE PRESIDENT
276 N MATHEW
PORTERVILLE CA 93256-2742

Officer/Director/Trustee Three

ROBERT BROWN
SECRETARY
9550 YERBA BUENA
SANTA MARGARITA CA 93453

Officer/Director/Trustee Four

CRAIG HENDERSON
TREASURER
9100 SAN DIEGO RD
ATASCADERO CA 93422-5704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2016
Organization Incorporation State SD
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 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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