FORM 1023-EZ for ORTHOS MINISTRY INC

Field Data
EIN 47-1854978
Case Number EO-2014262-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORTHOS MINISTRY INC
Organization’s Mailing Address 37955 ROAD 200
City WOODLAKE
State CA
ZIP 93286
Accounting period End 12
Primary contact name FLOYD GREEN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM FOX
PRESIDENT, DIRECTOR
37955 ROAD 200
WOODLAKE CA 93286

Officer/Director/Trustee Two

PAUL FUNK
SECRETARY, DIRECTOR
15487 CENTRAL AVE
WASCO CA 93210

Officer/Director/Trustee Three

DOUG RYDBERG
TREASURER, DIRECTOR
39500-C MILLWOOD DR
WOODLAKE CA 93286

Organization’s website WWW.ORTHOS-MINISTRY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2014
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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