FORM 1023-EZ for GOOD SAMARITAN CHRISTIAN MINISTRIES

Field Data
EIN 46-4383500
Case Number EO-2018061-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD SAMARITAN CHRISTIAN MINISTRIES
Organization’s Mailing Address 17220 MERRILL AVE
City FONTANA
State CA
ZIP 92335
Accounting period End 12
Primary contact name JACQUELINE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE WILLIAMS
DIRECTOR
PO BOX 4376
FONTANA CA 92334-4376

Officer/Director/Trustee Two

FREDDIE SMITH
TRUSTEE
1263 CHESTNUT AVE
RIALTO CA 92376-3729

Officer/Director/Trustee Three

JONATHAN WILLIAMS
TRUSTEE
17923 ARROW BLVD APT 305
FONTANA CA 92335

Officer/Director/Trustee Four

JAMES TAYLOR
TRUSTEE
1255 CHESTNUT AVE
RIALTO CA 92376-3729

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/14
Organization Incorporation State CA
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: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACQUELINE WILLIAMS
Signature Title DIRECTOR
Signature Date 2/27/18
EIN 46-4383500
Case Number EO-2014265-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD SAMARITAN CHRISTIAN MINISTRIES
Organization’s Mailing Address 7186 CYPRESS AVE
City FONTANA
State CA
ZIP 92336
Accounting period End 12
Primary contact name JACQUELINE M WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACQUELINE WILLIAMS
OFFICER
14724 COUNTRY LANE
FONTANA CA 92335

Officer/Director/Trustee Two

DINAH GREEN
SECRETARY
1334 N PAMPAS AVE
RIALTO CA 92376

Officer/Director/Trustee Three

JONATHAN WILLIAMS
TRUSTEE
14724 COUNTRY LANE
FONTANA CA 92335

Officer/Director/Trustee Four

CONSTANCE GIDEN
DIRECTOR
8181 PALMETTO AVE
FONTANA CA 92335

Officer/Director/Trustee Five

MONICA WILLIAMS
TRUSTEE
2446 6TH ST
ONTARIO CA 91711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2014
Organization Incorporation State CA
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 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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