FORM 1023-EZ for JUSTIN BLY DEWAYNE WALKER

Field Data
EIN 81-2576776
Case Number EO-2016131-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUSTIN BLY DEWAYNE WALKER
Organization’s Mailing Address 160 DELGADO CT
City VALLEJO
State CA
ZIP 94591
Accounting period End 4
Primary contact name JUSTIN WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN WALKER
ATTORNEY IN FACT
160 DELGADO CT
VALLEJO CA 94591

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/1986
Organization Incorporation State CA
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: Yes
Scientific: Yes
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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