FORM 1023-EZ for WORSHIP ONE

Field Data
EIN 83-2748099
Case Number EO-2018346-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORSHIP ONE
Organization’s Mailing Address 337 PROVISION PKWY
City BRANDON
State MS
ZIP 39042
Accounting period End 12
Primary contact name ALLEN COTTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKENEY HATCLIFF
SECRETARY
500 AVALON WAY APT 513
BRANDON MS 39047

Officer/Director/Trustee Two

ABBY CAMPBELL
TREASURER
223 MCLAURIN DR
BRANDON MS 39047

Officer/Director/Trustee Three

JACOB COKELY
BOARD MEMBER
1061 BAYBERRY
FLOWOOD MS 39232

Officer/Director/Trustee Four

ALLEN COTTON
DIRECTOR
337 PROVISION PKWY
BRANDON MS 39042

Organization’s website
Organization’s email INFO@WORSH1P.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/18
Organization Incorporation State MS
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 ALLEN COTTON
Signature Title DIRECTOR
Signature Date 12/10/18

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