FORM 1023-EZ for FRESH BEGINNINGS MINISTRIES INC

Field Data
EIN 30-0758175
Case Number EO-2015288-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRESH BEGINNINGS MINISTRIES INC
Organization’s Mailing Address 607 E JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46802
Accounting period End 12
Primary contact name PATRICIA A LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROWENA WILLIAMS PHD
PRESIDENT
212 MCKINNIE CIRCLE
FORT WAYNE IN 46806

Officer/Director/Trustee Two

CYNTHIA N WINN
TREASURER
5410 WERLING DR
FORT WAYNE IN 46806

Officer/Director/Trustee Three

WILLIAM L DUKE PHD
SECRETARY
3435 PETUNIA PLACE
FORT WAYNE IN 46806

Officer/Director/Trustee Four

TRACY M WILLIAMS PHD
TRUSTEE
212 MCKINNIE CIRCLE
FORT WAYNE IN 46806

Officer/Director/Trustee Five

PATRICIA A LEWIS
EXECUTIVE DIRECTOR
607 E JEFFERSON BLVD
FORT WAYNE IN 46802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2012
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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