FORM 1023-EZ for THE LORDS WORK

Field Data
EIN 85-1909109
Case Number EO-2020203-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LORDS WORK
Organization’s Mailing Address 238 LAKESHORE CIR
City BUMPUS MILLS
State TN
ZIP 37028
Accounting period End 7
Primary contact name DEREK MAYFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK MAYFIELD
PRESIDENT
238 LAKESHORE CIR
BUMPUS MILLS TN 37028

Officer/Director/Trustee Two

CHELSEY MAYFIELD
EXECUTIVE DIRECTOR
238 LAKESHORE CIR
BUMPUS MILLS TN 37028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEREK MAYFIELD
Signature Title PRESIDENT
Signature Date 7/16/2020

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