FORM 1023-EZ for JAMIE SELF MINISTRIES

Field Data
EIN 81-1417469
Case Number EO-2019326-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMIE SELF MINISTRIES
Organization’s Mailing Address 5335 W KAREN DR
City GLENDALE
State AZ
ZIP 85308
Accounting period End 12
Primary contact name JAMIE SELF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE SELF
DIRECTOR
5335 W KAREN DR
GLENDALE AZ

Officer/Director/Trustee Two

ANDREA SELF
DIRECTOR
5335 W KAREN DR
GLENDALE AZ 85308

Officer/Director/Trustee Three

JAYME MILLER
SECRETARY
12223 W PASO TRAIL
SUN CITY AZ 85383

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/16
Organization Incorporation State AZ
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: 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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 JAMIE SELF
Signature Title DIRECTOR
Signature Date 11/20/19
EIN 81-1417469
Case Number EO-2017017-000468
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAMIE SELF MINISTRIES
Organization’s Mailing Address 5335 W KAREN DRIVE
City GLENDALE
State AZ
ZIP 85308
Accounting period End 12
Primary contact name JAMIE SELF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS DAUKAS
PRESIDENT
5335 W KAREN DRIVE
GLENDALE AZ 85308

Officer/Director/Trustee Two

JAYME MILLER
SECRETARY/TREASURER
5335 W KAREN DRIVE
GLENDALE AZ 85308

Officer/Director/Trustee Three

ANDREA SELF
DIRECTOR
5335 W KAREN DRIVE
GLENDALE AZ 85308

Organization’s website HTTP://JAMIESELF.ORG/
Organization’s email JAMIE@JAMIESELF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2016
Organization Incorporation State AZ
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: 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 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
Signature Title
Signature Date

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