FORM 1023-EZ for HIS UNLIKELY SOURCE

Field Data
EIN 84-2638958
Case Number EO-2019225-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS UNLIKELY SOURCE
Organization’s Mailing Address PO BOX 316
City FLEETWOOD
State NY
ZIP 10552
Accounting period End 12
Primary contact name KIMBERLY MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY MITCHELL
DIRECTOR
PO BOX 316
FLEETWOOD NY 10052

Organization’s website WWW.HISUNLIKELYSOURCE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 KIMBERLY MITCHELL
Signature Title DIRECTOR
Signature Date 8/9/19

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