FORM 1023-EZ for PROVIDERS MINISTRY

Field Data
EIN 85-1633261
Case Number EO-2020181-000590
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVIDERS MINISTRY
Organization’s Mailing Address 7607 195TH STREET CT E
City SPANAWAY
State WA
ZIP 98387
Accounting period End 6
Primary contact name VERONICA ABEH FORCHU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERONICA FORCHU
DIRECTOR
7607 195TH STREET CT E
SPANAWAY WA 98387

Officer/Director/Trustee Two

VALERY FORCHU
CFO/EXECUTIVE VICE PRESIDENT
7607 195TH STREET CT E
SPANAWAY WA 98387

Officer/Director/Trustee Three

SIMON NJAH TETUH
TREASURER
10005 E FRANKLIN AVE
GLENN DALE MD 20769

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 VERONICA FORCHU
Signature Title DIRECTOR
Signature Date 6/26/2020

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