FORM 1023-EZ for BETHANY MISSION SOCIETY INC

Field Data
EIN 84-3645667
Case Number EO-2019317-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETHANY MISSION SOCIETY INC
Organization’s Mailing Address 17225 E SHEA BLVD STE A109
City FOUNTAIN HILLS
State AZ
ZIP 85268
Accounting period End 12
Primary contact name LARRY WEBSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHEPA SRINIVASA RAO
PRESIDENT
17225 E SHEA BLVD A109
FOUNTAIN HILLS AZ 85268

Officer/Director/Trustee Two

LARRY WEBSTER
DIRECTOR
17225 E SHEA BLVD A109
FOUNTAIN HILLS AZ 85268

Officer/Director/Trustee Three

DAVID PATRICK
TREASURER
6745 FORDS MILL ROAD
VERSAILLES KY 40383

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/19
Organization Incorporation State AZ
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LARRY WEBSTER
Signature Title DIRECTOR
Signature Date 11/11/19

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