FORM 1023-EZ for HISSMALLLILLY MINISTRIES

Field Data
EIN 46-5219202
Case Number EO-2015146-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISSMALLLILLY MINISTRIES
Organization’s Mailing Address P O BOX 459
City WOODLAND PARK
State CO
ZIP 80866
Accounting period End 12
Primary contact name PAULA SUE CLIFTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAULA SUE CLIFTON
FOUNDER PRESIDENT
540 BLACK BEAR TRAIL
WOODLAND PARK CO 80863-8941

Officer/Director/Trustee Two

DEBRA ADZEMA
DIRECTOR
120 HENRIETTA AVE
WOODLAND PARK CO 80863

Officer/Director/Trustee Three

BETHANY SATHER
DIRECTOR
4022 COOKE DRIVE
COLORADO SPRINGS CO 80911

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2014
Organization Incorporation State CO
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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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