FORM 1023-EZ for SAMARITANS PLACE MINISTRIES

Field Data
EIN 81-5241284
Case Number EO-2020274-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMARITANS PLACE MINISTRIES
Organization’s Mailing Address 412 13TH COURT NW
City CENTER POINT
State AL
ZIP 35215
Accounting period End 12
Primary contact name DEIDRA RODGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEIDRA RODGERS
DIRECTOR
412 13TH COURT NW
CENTER POINT AL 35215

Officer/Director/Trustee Two

JAMES RODGERS
PRESIDENT
412 13TH COURT NW
BIRMINGHAM AL 35215

Officer/Director/Trustee Three

TAMMY HANKINS
VICE PRESIDENT
526 80TH ST N APT D
BIRMINGHAM AL 35206

Officer/Director/Trustee Four

GLORIA ROBINSON
SECRETARY
1223 12TH ST N APT D
BIRMINGHAM AL 35204

Officer/Director/Trustee Five

GREGORY HENDERSON
TREASURER
6616 COURT N
BIRMINGHAM AL 35228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2020
Organization Incorporation State AL
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 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 DEIDRA RODGERS
Signature Title DIRECTOR
Signature Date 9/28/2020

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