FORM 1023-EZ for SOUTHERN INTERSTATE CHAPEL MINISTRIES

Field Data
EIN 47-2101129
Case Number EO-2016012-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN INTERSTATE CHAPEL MINISTRIES
Organization’s Mailing Address 13719 STATE HWY 181
City FAIRHOPE
State AL
ZIP 36532
Accounting period End 12
Primary contact name CHARLES WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES WILSON
PRESIDENT
13719 STATE HWY 181
FAIEHOPE AL 36532

Officer/Director/Trustee Two

MARKUS SIKES
DIECTOR
11429 A COUNTY RD 65
FOLEY AL 36535

Officer/Director/Trustee Three

GARY PATRICK
DIRECTOR
10459 STEEL CREEK CT
FAIRHOPE AL 36532

Officer/Director/Trustee Four

GERALD WRIGHT
DIRECTOR
19055 ROEVELT NECAISE
KILN MS 39556

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2014
Organization Incorporation State AL
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 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
Signature Title
Signature Date

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