FORM 1023-EZ for UPPER ROOM WORSHIP CENTER MINISTRIES

Field Data
EIN 81-5471349
Case Number EO-2017086-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UPPER ROOM WORSHIP CENTER MINISTRIES
Organization’s Mailing Address 6828 CREFT CIRCLE
City INDIAN TRAIL
State NC
ZIP 28079-9701
Accounting period End 12
Primary contact name ALEXIS STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXIS STONE
PRESIDENT
6828 CREFT CIRCLE
INDIAN TRAIL NC 28079-9701

Officer/Director/Trustee Two

PAMELA STONE
VICE-PRESIDENT
6828 CREFT CIRCLE
INDIAN TRAIL NC 28079-9701

Officer/Director/Trustee Three

SHIREE PAGE
SECRETARY
6103 FARINON DR BLDG 6
SAN ANTONIO TX 79249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2017
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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