FORM 1023-EZ for CROSSROAD MINISTRY OF NORTHPORT

Field Data
EIN 47-3154527
Case Number EO-2016295-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSROAD MINISTRY OF NORTHPORT
Organization’s Mailing Address PO BOX 274
City NORTHPORT
State AL
ZIP 35476
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICKY WATSON
PRESIDENT
15689 SEMINOLE TRL
NORTHPORT AL 35475

Officer/Director/Trustee Two

CHRIS WADDELL
TREASURER
5701 CLEARBROOK DRIVE
NORTHPORT AL 35473

Officer/Director/Trustee Three

LANELLE MARCHANT
SECRETARY
17421 OLD FAYETTE ROAD
NORTHPORT AL 35475

Officer/Director/Trustee Four

TONY SMITH
DIRECTOR
15536 HARRISON WAY
NORTHPORT AL 35475

Officer/Director/Trustee Five

JOHN ROBERT DUNN
DIRECTOR
11405 COUNTRY CLUB DRIVE
NORTHPORT AL 35475

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State AL
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: 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 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 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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