FORM 1023-EZ for CALVARY WORSHIP CENTER INC

Field Data
EIN 47-3776404
Case Number EO-2016060-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALVARY WORSHIP CENTER INC
Organization’s Mailing Address 317 MADISON AVE
City LAS VEGAS
State NV
ZIP 89084
Accounting period End 12
Primary contact name SAMUEL CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMUEL CARROLL
PASTOR
4825 CAPTAIN MCCALL COURT
N LAS VEGAS NV 89031

Officer/Director/Trustee Two

JOYCE CARROLL
SECRETARY/TREASURER
4825 CAPTAIN MCCALL COURT
N LAS VEGAS NV 89031

Officer/Director/Trustee Three

MARCUS ALLEN
DIRECTOR
1711 PINTER WAY
N LAS VEGAS NV 89032

Officer/Director/Trustee Four

LATASHA WILLIAMS
DIRECTOR
5617 W DIANE AV E APT B
LAS VEGAS NV 89108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2015
Organization Incorporation State NV
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 Yes
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 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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