FORM 1023-EZ for GOSPEL AWAKENING INC

Field Data
EIN 83-4026984
Case Number EO-2019317-000030
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOSPEL AWAKENING INC
Organization’s Mailing Address 4584 US BUS 70
City CLAYTON
State NC
ZIP 27520
Accounting period End 12
Primary contact name DENNIS M GOLPHIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERENCE JENKINS
PRESIDENT
204 S BREVARD STREET
SELMA NC 27576

Officer/Director/Trustee Two

SERREDA JENKINS
VICE PRESIDENT
204 S BREVARD STREET
SELMA NC 27576

Officer/Director/Trustee Three

JESSICA ANDREWS
SECRETARY
1209 MASSEY STREET
SMITHFIELD NC 27577

Officer/Director/Trustee Four

ANTHONY FULP
DIRECTOR
1781 INDIAN CAMP ROAD
SMITHFIELD NC 27577

Officer/Director/Trustee Five

DAVID MILLER
DIRECTOR
143 LEE TRACE DRIVE
SMITHFIELD NC 27577

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TERENCE JENKINS
Signature Title PRESIDENT
Signature Date 11/8/19

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