FORM 1023-EZ for AZUSA MINISTRIES INTERNATIONAL INC

Field Data
EIN 84-2787538
Case Number EO-2019263-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AZUSA MINISTRIES INTERNATIONAL INC
Organization’s Mailing Address 20101 SOUTH 180 RD
City OKMULGEE
State OK
ZIP 74447
Accounting period End 12
Primary contact name DAN BEIRUTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BERRY
PRESIDENT DIRECTOR
20101 SOUTH 180 RD
OKMUGLEE OK 74447

Officer/Director/Trustee Two

LANITA BERRY
VICE-PRESIDENT DIRECTOR
20101 SOUTH 180 RD
OKMUGLEE OK 74447

Officer/Director/Trustee Three

BRITTANY BAILEY
SECRETARY TREASURER
1304 EAST 36TH
OKMUGLEE OK 74447

Officer/Director/Trustee Four

COLE BAILEY
DIRECTOR
1304 EAST 36TH
OKMULGEE OK 74447

Officer/Director/Trustee Five

BRAD BURTON
DIRECTOR
8114 HIGHWAY 9
WETUMKA OK 74883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/19
Organization Incorporation State OK
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 JOHN BERRY
Signature Title PRESIDENT DIRECTOR
Signature Date 9/18/19

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