FORM 1023-EZ for AMERICAN CHRISTIAN ASSOCIATION

Field Data
EIN 47-1558647
Case Number EO-2016190-000740
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN CHRISTIAN ASSOCIATION
Organization’s Mailing Address PO BOX 15011
City HATTIESBURG
State MS
ZIP 39404-5011
Accounting period End 12
Primary contact name RYAN KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN KELLY
DIRECTOR
64 GETTYSBURG WAY
HATTIESBURG MS 39402

Officer/Director/Trustee Two

KEVIN DOUGHERTY
DIRECTOR
159 THE CITADEL
CHARLESTON SC 29409

Officer/Director/Trustee Three

KATE HILL
DIRECTOR
1500 UNRUH LANE
HARLEYSVILLE PA 19438

Officer/Director/Trustee Four

SUSAN CAMPBELL
DIRECTOR
PO BOX 336
LIVINGSTON AL 35470

Officer/Director/Trustee Five

THEO VALLAS
DIRECTOR
229 KILLIAN WAY
JULIET TN 37122

Organization’s website WWW.MYAMERICANCHRISTIAN.ORG
Organization’s email COMMUNICATIONS@MYAMERICANCHRISTIAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
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 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
Signature Title
Signature Date

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