FORM 1023-EZ for ANDY HARRIS MINISTRIES INC

Field Data
EIN 84-2672654
Case Number EO-2019263-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDY HARRIS MINISTRIES INC
Organization’s Mailing Address 2406 BENTON RD
City BOSSIER CITY
State LA
ZIP 71111
Accounting period End 12
Primary contact name DON GOODWIN EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDY HARRIS
PRESIDENT
2406 BENTON RD
BOSSIER CITY LA 71111

Officer/Director/Trustee Two

LAUREN JETTON
DIRECTOR
3202 HANOVER
BOSSIER CITY LA 71111

Officer/Director/Trustee Three

PAYTON STAPLETON
DIRECTOR
4582 PINE CREST
HAUGHTON LA 71037

Officer/Director/Trustee Four

SHERYL HARRIS
DIRECTOR
2406 BENTON RD
BOSSIER CITY LA 71111

Officer/Director/Trustee Five

ANDREA STAPLETON
DIRECTOR
4582 PINE CREST
HAUGHTON LA 71037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State LA
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: 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 ANDY HARRIS
Signature Title PRESIDENT
Signature Date 9/18/19

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