FORM 1023-EZ for SUPERNATURAL WORD OUTREACH MINISTRYINC

Field Data
EIN 81-4211389
Case Number EO-2017040-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUPERNATURAL WORD OUTREACH MINISTRYINC
Organization’s Mailing Address 1101 RIVERHILL DRIVE
City GREENVILLE
State NC
ZIP 27858
Accounting period End 12
Primary contact name ANNIE MABRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES WILLIAMS
PRESIDENT
114 STORM COURT
CARY NC 27513

Officer/Director/Trustee Two

JACKIE PALMER
SECRETARY
800 HEATH STREET APT 81
GREENVILLE NC 27834

Officer/Director/Trustee Three

GLADYS JACKSON
TREASURER
4722 US HIGHWAY 264A
GREENVILLE NC 27834

Officer/Director/Trustee Four

MIKE DAVIS
BOARD MEMBER
PO BOX 866
FARMVILLE NC 27828

Officer/Director/Trustee Five

ANNIE MABRY
EXECUTIVE DIRECTOR
1001 RIVERHILL DRIVE
GREENVILLE NC 27858

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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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