FORM 1023-EZ for ASSURANCE MINISTRIES

Field Data
EIN 46-5436879
Case Number EO-2017258-000064
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSURANCE MINISTRIES
Organization’s Mailing Address 202 ANGEL DR
City AUSTIN
State AR
ZIP 72007
Accounting period End 12
Primary contact name THOMAS LAFAVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS LAFAVE
PRESIDENT
202 ANGEL DR
AUSTIN AR 72007

Officer/Director/Trustee Two

DEBORA LAFAVE
SECRETARY/ TREASURER
202 ANGEL DR
AUSTIN AR 72007

Officer/Director/Trustee Three

CHARLES PRUITT
DIRECTOR
24 SANTA FE TRAIL
VILONIA AR 72173

Officer/Director/Trustee Four

LOWELL EDWARD WILLIFORD
DIRECTOR
2478 LOCUST GROVE RD
BATESVILLE AR 72501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2014
Organization Incorporation State AR
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: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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