FORM 1023-EZ for PHOENIX UNIVERSITY OF THEOLOGY INTERNATIONAL

Field Data
EIN 47-3731895
Case Number EO-2015120-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHOENIX UNIVERSITY OF THEOLOGY INTERNATIONAL
Organization’s Mailing Address 2401 W PARADISE LN
City PHOENIX
State AZ
ZIP 85023
Accounting period End 12
Primary contact name DR KAREN DRAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DR KAREN DRAKE
PRESIDENT AND DIRECTOR
2401 W PARADISE LN
PHOENIX AZ 85023

Officer/Director/Trustee Two

DR WILLIAM EDWARD SMITH
DIRECTOR
402 ALVA DR
GRAND PRAIRIE TX 75052

Officer/Director/Trustee Three

DR JACK GAINES
DIRECTOR
1705 WILD DUCK CROSSING
CHESAPEAKE VA 23321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State AZ
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: Yes
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 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 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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