FORM 1023-EZ for PROVEN WORD MINISTRIES INC

Field Data
EIN 36-4676871
Case Number EO-2015272-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROVEN WORD MINISTRIES INC
Organization’s Mailing Address 1518 FISHER STREET
City FORT WAYNE
State IN
ZIP 46803-3511
Accounting period End 12
Primary contact name ERNIE GREENE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERNEST GREENE JR
PRESIDENT
1518 FISHER STREET
FORT WAYNE IN 46803-3511

Officer/Director/Trustee Two

DARRYL PARKS
DIRECTOR
6504 BAYCHESTER DRIVE
FORT WAYNE IN 46815

Officer/Director/Trustee Three

CIEONDRA SHAW
DIRECTOR
1120 RUDISILL BLVD
FORT WAYNE IN 46806

Officer/Director/Trustee Four

MATTHEW LAGRONE
DIRECTOR
5004 SALT TRAIL CANYON PASS
FORT WAYNE IN 46808

Officer/Director/Trustee Five

DAVID ROBINSON
DIRECTOR
1216 MCKINNIE STREET
FORT WAYNE IN 46806

Organization’s website PROVENWORDMINISTRIES.COM
Organization’s email PRVNWRDMINISTRIES@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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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