FORM 1023-EZ for MICAH USRY MINISTRIES INC

Field Data
EIN 82-5144766
Case Number EO-2018141-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICAH USRY MINISTRIES INC
Organization’s Mailing Address 1259 COAN DR
City LOCUST GROVE
State GA
ZIP 30248
Accounting period End 12
Primary contact name STEPHEN M KILBY EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICAH USRY
PRESIDENT
1259 COAN DR
LOCUST GROVE GA 30248

Officer/Director/Trustee Two

COREY REID
VICE PRESIDENT
96 SOUTH BARNES DR
LOCUST GROVE GA 30248

Officer/Director/Trustee Three

TIMOTHY HALEY
SECRETARY
1163 CHAPPEL MILL RD
JACKSON GA 30233

Officer/Director/Trustee Four

MATTHEW GLASS
TREASURER
105 DARWISH DR
MCDONOUGH GA 30252

Organization’s website WWW.MICAHUSRYMINISTRIES.ORG
Organization’s email MICAHUSRYMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
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: 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 Yes
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 MICAH USRY
Signature Title PRESIDENT
Signature Date 5/16/18

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