FORM 1023-EZ for SAVE A MAN MINISTRY INC

Field Data
EIN 83-0618665
Case Number EO-2018233-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVE A MAN MINISTRY INC
Organization’s Mailing Address PO BOX 54639
City JACKSONVILLE
State FL
ZIP 32245-4639
Accounting period End 12
Primary contact name CATHY MORELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTIN BRUCE BERRY
PRESIDENT / DIRECTOR
PO BOX 93
PENNEY FARMS FL 32079

Officer/Director/Trustee Two

MARY ELLEN SAMPSON
TREASURER / DIRECTOR
11445 MARTIN LAKES DRIVE NORTH
JACKSONVILLE FL 32220

Officer/Director/Trustee Three

CATHY L MORELAND
ASST. TREASURER / DIRECTOR
2748 TREASURY CIRCLE EAST
JACKSONVILLE FL 32246

Officer/Director/Trustee Four

GLORIA ANN BERRY
SECRETARY / DIRECTOR
PO BOX 93
PENNEY FARMS FL 32079

Officer/Director/Trustee Five

KATHLEEN E SMITH
DIRECTOR
2233 SEMINOLE RD UNIT 2
ATLANTIC BEACH FL 32233

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - 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 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 MARTIN BRUCE BERRY
Signature Title PRESIDENT / DIRECTOR
Signature Date 8/19/18

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