FORM 1023-EZ for AMBASSADOR MINISTRIES

Field Data
EIN 36-4784144
Case Number EO-2014300-000442
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMBASSADOR MINISTRIES
Organization’s Mailing Address 9840 VIA MONTARA
City MORENO VALLEY
State CA
ZIP 92557
Accounting period End 12
Primary contact name DONALD STEVEN COFFEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA COFFEEN
CHIEF EXECUTIVE OFFICER
9840 VIA MONTARA
MORENO VALLEY CA 92557

Officer/Director/Trustee Two

DONALD COFFEEN
SECRETARY
9840 VIA MONTARA
MORENO VALLEY CA 92557

Officer/Director/Trustee Three

VINCENT DIAZ
CHIEF FINANCIAL OFFICER
13790 SEVILLE AVE
FONTANA CA 92337

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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