FORM 1023-EZ for ACTION TABERNACLE MINISTRIES

Field Data
EIN 47-2179783
Case Number EO-2015306-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACTION TABERNACLE MINISTRIES
Organization’s Mailing Address 10321 SAMUELS WAY DRIVE
City HUNTERSVILLE
State NC
ZIP 28078-7629
Accounting period End 12
Primary contact name PETER AGBEWALI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PETER AGBEWALI
PRESIDENT
10321 SAMUELS WAY DR
HUNTERSVILLE NC 28078-7629

Officer/Director/Trustee Two

LUCINDA OKYERE
VICE PRESIDENT
10321 SAMUELS WAY DR
HUNTERSVILLE NC 28078-7629

Officer/Director/Trustee Three

FRANCIS MENSA-SHEBRA
TREASURER
2508 LASSEN BAY PLACE
CHARLOTTE NC 28215-7795

Organization’s website
Organization’s email ENQUIRY@ACTIONTABERNACLEMINISTRIES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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