FORM 1023-EZ for SPIRIT FILLED LIFE CHRISTIAN MINISTRIES INC

Field Data
EIN 81-3250097
Case Number EO-2019101-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPIRIT FILLED LIFE CHRISTIAN MINISTRIES INC
Organization’s Mailing Address 4400 RIVERVIEW LN
City LITHONIA
State GA
ZIP 30038
Accounting period End 12
Primary contact name OPHELIA MIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OPHELIA MIMS
CEO
4400 RIVERVIEW LN
LITHONIA GA 30038-3689

Officer/Director/Trustee Two

JEFFREY PEGRAM
SECRETARY
4400 RIVERVIEW LN
LITHONIA GA 30038-3689

Officer/Director/Trustee Three

WILLIE MIMS
CFO
4400 RIVERVIEW LN
LITHONIA GA 30038-3689

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/16
Organization Incorporation State GA
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 OPHELIA MIMS
Signature Title CEO
Signature Date 4/9/19

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