FORM 1023-EZ for HIS DEATH ROW MINISTRY & SUPPORT

Field Data
EIN 84-2124119
Case Number EO-2019186-000067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS DEATH ROW MINISTRY & SUPPORT
Organization’s Mailing Address PO BOX 409
City JARRELL
State TX
ZIP 76537
Accounting period End 12
Primary contact name NICOLE COMBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE COMBS
DIRECTOR
129 ENGINEERS PASS
JARRELL TX 76537

Officer/Director/Trustee Two

BRADLEY ANDERSON
DIRECTOR
129 ENGINEERS PASS
JARRELL TX 76537

Officer/Director/Trustee Three

BRANDY BOREN
DIRECTOR
129 ENGINEERS PASS
JARRELL TX 76537

Organization’s website
Organization’s email HISDEATHROWMINISTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - Multipurpose
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 Yes
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 NICOLE COMBS
Signature Title DIRECTOR
Signature Date 7/2/19

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