FORM 1023-EZ for FAITH IWORKS N ACTION MINISTRIES

Field Data
EIN 86-2897166
Case Number EO-2021133-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAITH IWORKS N ACTION MINISTRIES
Organization’s Mailing Address 200 LAYUEL HILLDRIVE
City STARKVILLE
State MS
ZIP 39759
Accounting period End 12
Primary contact name TYRONE ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRONE ELLIS
CEO
200 LAUREL HILL DRIVE
STARKVILLE MS 39759

Officer/Director/Trustee Two

STEPHANIE ELLIS
PRESIDENT
72 ALPINE DRIVE
STARKVILLE MS 39759

Officer/Director/Trustee Three

KATY BUCKHALTER
SECRETARY
P O BOX 314
SHUQUALAK MS 39361

Officer/Director/Trustee Four

EPPIE MURRAY
FINANCIAL OFFICER
227 MURRAY HILL ROAD
MACON MS 39341

Officer/Director/Trustee Five

JOHN ELLIS
DIRECTOR OF MARKETING
200 LAUREL HILL DRIVE
STARKVILLE MS 39759

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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 TYRONE ELLIS
Signature Title CEO
Signature Date 5/12/2021

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