FORM 1023-EZ for TOM ELLSWORTH MINISTRIES INC

Field Data
EIN 85-0791285
Case Number EO-2020121-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOM ELLSWORTH MINISTRIES INC
Organization’s Mailing Address 3918 E BRECKENMORE DRIVE
City BLOOMINGTON
State IN
ZIP 47401-8158
Accounting period End 12
Primary contact name TOM ELLSWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM ELLSWORTH
PRESIDENT
3918 E BRECKENMORE DRIVE
BLOOMINGTON IN 47401-8158

Officer/Director/Trustee Two

REX JOSEPH
SECRETARY
8527 RIDGE HILL DRIVE
INDIANAPOLIS IN 46217-6822

Officer/Director/Trustee Three

GARY RAAD
TREASURER
5220 S WHITE PINE DRIVE
BLOOMINGTON IN 47404-4630

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2020
Organization Incorporation State IN
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 Yes
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 TOM ELLSWORTH
Signature Title PRESIDENT
Signature Date 4/28/2020

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