FORM 1023-EZ for FORCHAMB AGAPE MINISTRIES INC

Field Data
EIN 87-0797645
Case Number EO-2017121-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORCHAMB AGAPE MINISTRIES INC
Organization’s Mailing Address 314 LONGLEAF DRIVE
City FLOWOOD
State MS
ZIP 39232
Accounting period End 12
Primary contact name RONALD T CHAMBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD T CHAMBERS
PRESIDENT
314 LONGLEAF DRIVE
FLOWOOD MS 39232

Officer/Director/Trustee Two

OCTAVIA D CHAMBERS
VP SECRETARY
314 LONGLEAF DRIVE
FLOWOOD MS 39232

Officer/Director/Trustee Three

SAMUEL N PERKINS
MEMBER
151 OVERLOOK CIRCLE
JACKSON MS 39213

Organization’s website
Organization’s email INFO@FAMGROUPMENTORS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2007
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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
Signature Title
Signature Date

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