FORM 1023-EZ for CBS WASHINGTON SERVANT MEDIA MINISTRY

Field Data
EIN 81-1086697
Case Number EO-2016112-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CBS WASHINGTON SERVANT MEDIA MINISTRY
Organization’s Mailing Address 14641 LEE HWY SUITE 106
City CENTREVILLE
State VA
ZIP 20121
Accounting period End 12
Primary contact name GRACE JANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BYONGHAN LEE
DIRECTOR
14641 LEE HWY SUITE 106
CENTREVILLE VA 20121

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
Organization’s purpose Charitable: Yes
Religious: No
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 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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