FORM 1023-EZ for MIRACLE TABERNACLE ACADEMY

Field Data
EIN 82-5251947
Case Number EO-2018269-000311
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRACLE TABERNACLE ACADEMY
Organization’s Mailing Address 510 N MAIN ST
City SPRING LAKE
State NC
ZIP 28390
Accounting period End 12
Primary contact name CLINTON WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLINTON WILLIAMS
PRESIDENT
213 D MCKENZIE RD
SPRING LAKE NC 28390

Officer/Director/Trustee Two

RAMONA WILLIAMS
DIRECTOR
213 D MCKENZIE RD
SPRING LAKE NC 28390

Officer/Director/Trustee Three

MARY FAIRLEY
VICE PRESIDENT
7179 EVANSTON ST
FAYETTEVILLE NC 28314

Officer/Director/Trustee Four

YOLANDA JOHNSON
SECRETARY
911 PINE KNOLL DRIVE APT 104
SPRING LAKE NC 28390

Organization’s website
Organization’s email MIRACLETABERNACLEACADEMY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CLINTON WILLIAMS
Signature Title PRESIDENT
Signature Date 9/24/18

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