FORM 1023-EZ for ANGEL 420 MINISTRY BOUTIQUES LLC

Field Data
EIN 84-3638242
Case Number EO-2019361-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGEL 420 MINISTRY BOUTIQUES LLC
Organization’s Mailing Address 366 BROOKS ROAD
City REIDSVILLE
State NC
ZIP 27320
Accounting period End 12
Primary contact name JESSICA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA MILLER
CEO/DIRECTOR
366 BROOKS ROAD
REIDSVILLE NC 27320

Officer/Director/Trustee Two

TRISTON BRINKMAN
DELIVERY PICK UP EVENT ASSISTANT
366 BROOKS ROAD
REIDSVILLE NC 27320

Officer/Director/Trustee Three

OLIVER ORDONEZ
MARKETING & EVENTS COODINATOR
301A MONTROSE DRIVE
GREENSBORO NC 27407

Organization’s website
Organization’s email ANGEL420MINISTRYBOUTIQUES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JESSICA MILLER
Signature Title CEO/DIRECTOR
Signature Date 12/25/2019

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