FORM 1023-EZ for CONSERVATIVE HOLINESS BROADCASTING

Field Data
EIN 82-5287865
Case Number EO-2018115-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONSERVATIVE HOLINESS BROADCASTING
Organization’s Mailing Address 1510 SHERWOOD ROAD
City PINEVILLE
State LA
ZIP 71360
Accounting period End 12
Primary contact name DAVID KAUFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID KAUFMAN
PRESIDENT
1510 SHERWOOD ROAD
PINEVILLE LA 71360

Officer/Director/Trustee Two

KEVIN HARTLEY
VICE PRESIDENT
170 PINCKARD ROAD
COLFAX LA 71417

Officer/Director/Trustee Three

TOMMY ZIMMERMAN
TREASURER
2967 SMITHTON ROAD
SMITHBURG WV 26436

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X84 - Religious Radio
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 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 DAVID KAUFMAN
Signature Title PRESIDENT
Signature Date 4/23/18

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