FORM 1023-EZ for HOLINESS CHURCH OF GOD IN CHRIST JESUS CHRIST APOSTOLIC INC

Field Data
EIN 52-2262776
Case Number EO-2017081-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLINESS CHURCH OF GOD IN CHRIST JESUS CHRIST APOSTOLIC INC
Organization’s Mailing Address 390 OLD MILLS RD APT 304
City CARTERSVILLE
State GA
ZIP 30120
Accounting period End 4
Primary contact name LOVELLA MOGERE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIOLA RAWLINS
PRESIDENT
390 OLD MILLS RD APT 304
CARTERSVILLE GA 30120

Officer/Director/Trustee Two

LOVELLA MOGERE
VICE PRESIDENT
2500 E WALLISVILLE APT 33
HIGHLANDS TX 77562

Officer/Director/Trustee Three

TINISHA ANTHONY
SECRETARY
301 TRI CITY BEACH RD APT 135
BAYTOWN TX 77520

Organization’s website
Organization’s email HOLINESSCHURCHGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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