FORM 1023-EZ for BRAD HOLLOWAY DISCIPLESHIP MINISTRIES

Field Data
EIN 83-4515333
Case Number EO-2019119-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRAD HOLLOWAY DISCIPLESHIP MINISTRIES
Organization’s Mailing Address 1041
City BOGART
State GA
ZIP 30622
Accounting period End 12
Primary contact name BRAD HOLLOWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS ANDERSON
MR.
1081 ESSEX DR
WATKINSVILLE GA 30677

Officer/Director/Trustee Two

DOZIER ROWE
MR
2460 WADE DR
BOGART GA 30622

Officer/Director/Trustee Three

COLEMAN NUTTER
MR
1090 WESTMINISTER TERRACE
WATKINSVILLE GA 30605

Officer/Director/Trustee Four

BRAD HOLLOWAY
MR
1041 SUN STONE DR
BOGART GA 30622

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/19
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: 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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRAD HOLLOWAY
Signature Title MR
Signature Date 4/25/19

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