FORM 1023-EZ for WAYSIDE SPIRITUAL TEMPLE OF LOVE

Field Data
EIN 45-2248683
Case Number EO-2014342-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAYSIDE SPIRITUAL TEMPLE OF LOVE
Organization’s Mailing Address 6210 CONSTITUTION DR STE E
City FORT WAYNE
State IN
ZIP 46804-1588
Accounting period End 12
Primary contact name KENNETH MICKENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DR KENNETH MICKENS
PRESIDENT/CEO
19100 W 10 MILE RD
SOUTHFIELD MI 48075-2411

Officer/Director/Trustee Two

YVETTE WOOD
DIRECTOR AND SECRETARY
1609 FASSNACHT AVE
SOUTH BEND IN 46628-2334

Officer/Director/Trustee Three

RUDOLPH WOODS
DIRECTOR AND TREASURER/CFO
19100 W 10 MILE RD
SOUTHFIELD MI 48075-2411

Officer/Director/Trustee Four

KENNETH L MICKENS II
DIRECTOR
1609 FASSNACHT AVE
SOUTH BEND IN 46628-2334

Officer/Director/Trustee Five

NIQUE ARIEL
DIRECTOR
6210 CONSTITUTION DR STE E
FORT WAYNE IN 46804-1588

Organization’s website
Organization’s email WAYSIDESPIRITUALTEMPLE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/1975
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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
Signature Title
Signature Date

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