FORM 1023-EZ for LIVING ACTS MINISTRIES

Field Data
EIN 82-3490242
Case Number EO-2018066-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING ACTS MINISTRIES
Organization’s Mailing Address 196 BETHEL ROAD
City WINCHESTER
State TN
ZIP 37398-3195
Accounting period End 12
Primary contact name JEFF CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD HAGEN
PRESIDENT
7100 COUNTY ROAD 700
BLUE MOUNTAIN MS 38610-8117

Officer/Director/Trustee Two

JOHN DIXON
TREASURER
1074 WATER TANK ROAD
WINCHESTER TN 37398-2750

Officer/Director/Trustee Three

DAVID HANNAH
SECRETARY
1079 NORTH POPLAR FORK ROAD
HURRICANE WV 25526-7179

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/17
Organization Incorporation State TN
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: 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 No
Correctness Declaration Yes
Signature Name JOHN DIXON
Signature Title TREASURER
Signature Date 3/5/18

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