FORM 1023-EZ for CENTRE FOR PENTECOSTAL THEOLOGY
| Field | Data |
|---|---|
| EIN | 81-4063263 |
| Case Number | EO-2018136-000528 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CENTRE FOR PENTECOSTAL THEOLOGY |
| Organization’s Mailing Address | 154 COUNTY ROAD 137 |
| City | RICEVILLE |
| State | TN |
| ZIP | 37370 |
| Accounting period End | 12 |
| Primary contact name | KEITH D LECROY CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHN THOMAS
PRESIDENT
154 COUNTY RD 137
RICEVILLE TN 37370
Officer/Director/Trustee Two
LEE MARTIN
VICE PRESIDENT
4038 JOHN CT
CLEVELAND TN 37312
Officer/Director/Trustee Three
MISTI GRANTHAM
SECRETARY TREASURER
153 COUNTY RD 574
ENGLEWOOD TN 37329
Officer/Director/Trustee Four
BLAINE CHARETTE
BOARD MEMBER
14011 53RD AVE W
EDMONDS WA 98026
Officer/Director/Trustee Five
DANIELA AUGUSTINE
BOARD MEMBER
220 MALLARD TR
CLEVELAND TN 37312
| Organization’s website | WWW.PENTECOSTALTHEOLOGY.ORG |
|---|---|
| Organization’s email | CPT@PENTECOSTALTHEOLOGY.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/28/16 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X05 - Research Institutes and/or Public Policy Analysis |
| Organization’s purpose | Charitable: No 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 | JOHN THOMAS |
| Signature Title | PRESIDENT |
| Signature Date | 5/14/18 |
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