FORM 1023-EZ for BEAR MOUNTAIN CHURCH MINISTRY INC

Field Data
EIN 86-1383144
Case Number EO-2021099-002045
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEAR MOUNTAIN CHURCH MINISTRY INC
Organization’s Mailing Address 7527 ROSWELL ROAD 566547
City ATLANTA
State GA
ZIP 31156
Accounting period End 12
Primary contact name RICHARD JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD JORDAN
PRESIDENT
2080 OLD COUNTRY PLACE
WOODSTOCK GA 30188

Officer/Director/Trustee Two

BRUCE WITT
TREASURER
4465 NASSAU WAY
MARIETTA GA 30068

Officer/Director/Trustee Three

LAURIE JORDAN
SECRETARY
2080 OLD COUNTRY PLACE
WOODSTOCK GA 30188

Officer/Director/Trustee Four

JOHN SMITHGALL
VP DEVELOPMENT
PO BOX 566547
ATLANTA GA 31156

Officer/Director/Trustee Five

KRIS KNOWLES
BOARD MEMBER
174 HAMPTON WAY
CARROLLTON GA 30116

Organization’s website N/A
Organization’s email richard@richardjordan.us
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD JORDAN
Signature Title PRESIDENT
Signature Date 3/23/2021

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