FORM 1023-EZ for ROXANNE WORSHAM MINISTRIES

Field Data
EIN 82-4415477
Case Number EO-2018054-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROXANNE WORSHAM MINISTRIES
Organization’s Mailing Address 10043 DEL MONTE DR
City HOUSTON
State TX
ZIP 77042
Accounting period End 12
Primary contact name ROXANNE WORSHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROXANNE WORSHAM
DIRECTOR, PRESIDENT
10043 DEL MONTE
HOUSTON TX 77042

Officer/Director/Trustee Two

DEBBY JACKSON
DIRECTOR, SECRETARY
323 FM 2693 E
NEW WAVERLY TX 77538

Officer/Director/Trustee Three

SHAVONN ALLENSWORTH
DIRECTOR, TREASURER
4819 CLOUDCROFT LN
IRVING TX 75038

Officer/Director/Trustee Four

BEVERLY MOORE
DIRECTOR
7105 FM 723
RICHMOND TX 77406

Officer/Director/Trustee Five

JAE MOORE
DIRECTOR
7105 FM 723
RICHMOND TX 77406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 ROXANNE WORSHAM
Signature Title DIRECTOR, PRESIDENT
Signature Date 2/21/18

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