FORM 1023-EZ for DERRICK MOORE MINISTRIES INC

Field Data
EIN 84-5049899
Case Number EO-2020091-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DERRICK MOORE MINISTRIES INC
Organization’s Mailing Address 6237 LINDA VISTA LANE
City CHARLOTTE
State NC
ZIP 28216-8758
Accounting period End 12
Primary contact name DERRICK MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK MOORE
PRESIDENT
6237 LINDA VISTA LANE
CHARLOTTE NC 28216-8758

Officer/Director/Trustee Two

LEE LIONS
CHAIRMAN
4345 COOL EMERALD DRIVE
TALLAHASSEE FL 32303-6882

Officer/Director/Trustee Three

DENNIS MOORE
TREASURER
2309 AVENUE B
FORT PIERCE FL 34950-3764

Officer/Director/Trustee Four

EVAN TROUTMAN
SECRETARY
5930 ARAPAHO ROAD APT 2025
DALLAS TX 75254-3623

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2020
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 DERRICK MOORE
Signature Title PRESIDENT
Signature Date 3/29/2020

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