FORM 1023-EZ for SALT LIGHT MISSIONS OUTREACH INC

Field Data
EIN 47-4685606
Case Number EO-2015313-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALT LIGHT MISSIONS OUTREACH INC
Organization’s Mailing Address 335 HOGAN LANE SUITE 100
City CONWAY
State AR
ZIP 72034
Accounting period End 12
Primary contact name SHANE A HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY BESHEARS
PRESIDENT
4019 BONANZA ROAD
FORT SMITH AR 72916

Officer/Director/Trustee Two

ELIZABETH BESHEARS
SECRETARY TREASURER
4019 BONANZA ROAD
FORT SMITH AR 72916

Officer/Director/Trustee Three

JAMES HOLLAND
VICE PRESIDENT
108 CHAMBORD DRIVE
MAUMELLE AR 72113

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
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 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 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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