FORM 1023-EZ for BEN ROGERS EVANGELISTIC ASSOCIATIONINC

Field Data
EIN 85-3074780
Case Number EO-2020269-000484
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEN ROGERS EVANGELISTIC ASSOCIATIONINC
Organization’s Mailing Address 10048 PAPER BIRCH DRIVE
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 12
Primary contact name ROBERT WELCH JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT WELCH JR
PRESIDENT
10048 PAPER BIRCH DRIVE
CHARLOTTE NC 28215

Officer/Director/Trustee Two

NITA ROGERS
SECRETARY/TREASURER
1902 YELLOWSTONE DRIVE
LONGVIEW TX 75605

Officer/Director/Trustee Three

REBECCA COOK
BOARD MEMBER
218 HUNTERS CIRCLE
LONGVIEW TX 75605

Officer/Director/Trustee Four

ANNA JOHNSON
BOARD MEMBER
1220 EDEN DRIVE
LONGVIEW TX 75605

Officer/Director/Trustee Five

RANDY WALKER
BOARD MEMBER
9632 OKA FOREST LANE
SHERWOOD AR 72120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2020
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: 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 ROBERT WELCH JR
Signature Title PRESIDENT
Signature Date 9/23/2020

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