FORM 1023-EZ for FORGIVE FOR HEALTH MINISTRIES

Field Data
EIN 83-4451120
Case Number EO-2019199-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORGIVE FOR HEALTH MINISTRIES
Organization’s Mailing Address 4739 RUBY FORREST DRIVE
City STONE MOUNTAIN
State GA
ZIP 30083
Accounting period End 12
Primary contact name MAGON M SAUNDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAGON SAUNDERS
EXECUTIVE DIRECTOR
4739 RUBY FORREST DRIVE
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Two

STASEA AUSTIN
VICE-CHAIR
1402 ESTERS ROAD- APT 1006
IRVING TX 75061

Officer/Director/Trustee Three

SHEIKA WARMINGTON
TREASURER
4458 PRATHER PASS DRIVE
LOGANVILLE GA 30052

Officer/Director/Trustee Four

EMANUEL WILLIAMS
CHAPLAIN DIRECTOR
2995 PINEY WOOD DRIVE
EAST POINT GA 30344

Officer/Director/Trustee Five

PAMELA BARNES
SECRETARY
3100 LUMBY DRIVE -APT 222
DECATUR GA 30034

Organization’s website WWW.FORGIVE4HEALTH.ORG
Organization’s email FORGIVE4HEALTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/19
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: Yes
Educational: Yes
Scientific: Yes
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 Yes
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 MAGON SAUNDERS
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/16/19

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