FORM 1023-EZ for ROSEBUD MINISTRY A SACRAMENTAL LIFECHURCH

Field Data
EIN 85-1040365
Case Number EO-2020136-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSEBUD MINISTRY A SACRAMENTAL LIFECHURCH
Organization’s Mailing Address 515 CHINA CREEK RD
City WILLIAMS
State OR
ZIP 97544
Accounting period End 3
Primary contact name JAMES MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MARTIN
PRESIDENT
255 RIVER AVE
EUGENE OR 97404

Officer/Director/Trustee Two

ANNIE CLARE
SECRETARY
515 CHINA CREEK RD
WILLIAMS OR 97544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State OR
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: 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 Yes
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 JAMES MARTIN
Signature Title PRESIDENT
Signature Date 5/13/2020

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