FORM 1023-EZ for JESUSWORKS

Field Data
EIN 82-2311238
Case Number EO-2021102-000591
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JESUSWORKS
Organization’s Mailing Address 103 W PINE ST
City SHELTON
State WA
ZIP 98584
Accounting period End 12
Primary contact name SAM LOOMIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM LOOMIS
DIRECTOR
103 W PINE ST
SHELTON WA 98584

Officer/Director/Trustee Two

RAJEAH MURRAY
CHAIRMAN
1009 W HARVARD AVE
SHELTON WA 98584

Officer/Director/Trustee Three

CARL DUKE
TRESURER
140 W DELANTY RD
SHELTON WA 98584

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name SAM LOOMIS
Signature Title DIRECTOR
Signature Date 4/1/2021
EIN 82-2311238
Case Number EO-2017354-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JESUSWORKS
Organization’s Mailing Address 103 W PINE ST
City SHELTON
State WA
ZIP 98584
Accounting period End 12
Primary contact name SAM LOOMIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL LOOMIS
DIRECTOR
103 W PINE ST
SHELTON WA 98584

Officer/Director/Trustee Two

JESS BONNER
ASSISTANT DIRECTOR
1460 W MAY AVE
SHELTON WA 98584

Officer/Director/Trustee Three

AMY FORD
PROGRAM MANAGER
2560 W DEEGAN RD WEST
SHELTON WA 98584

Organization’s website CROSSOVERWM.COM
Organization’s email CROSSOVERWM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/17
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 SAMUEL LOOMIS
Signature Title DIRECTOR
Signature Date 12/17/17

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