FORM 1023-EZ for MPACT YOUR LIFE MINISTRIES INC

Field Data
EIN 83-3533639
Case Number EO-2019045-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MPACT YOUR LIFE MINISTRIES INC
Organization’s Mailing Address 300 RIDGLEY LANE
City FINCASTLE
State VA
ZIP 24090
Accounting period End 12
Primary contact name WILLIE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE BROWN
PRESIDENT
300 RIDGLEY LANE
FINCASTLE VA 24090

Officer/Director/Trustee Two

BOBBIE BROWN
SECRETRAY
300 RIDGLEY LANE
FINCASTLE VA 24090

Officer/Director/Trustee Three

DOROTHY BROWN
TREASURER
2426 RICHELIEU AVE APT 15
ROANOKE VA 24014

Officer/Director/Trustee Four

CHARLES CRENSHAW
DIRECTOR
1635 FALLEN TIMBER TRAIL
POWHATTAN VA 23139

Officer/Director/Trustee Five

TINA ROGERS
DIRECTOR
137 GREENLAND ROAD
ROANOKE VA 24012

Organization’s website
Organization’s email MPACT.WB95@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 WILLIE BROWN
Signature Title PRESIDENT
Signature Date 2/12/19

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