FORM 1023-EZ for UNDER THE BRIDGE MINISTRIES INC

Field Data
EIN 47-1414203
Case Number EO-2014279-000527
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNDER THE BRIDGE MINISTRIES INC
Organization’s Mailing Address PO BOX 98101
City GAINESVILLE
State GA
ZIP 30501
Accounting period End 12
Primary contact name SAM SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON LADD
CEO, EXEC DIRECTOR, CHAIRMAN
3912 HIDDEN MEADOWS DR
GAINESVILLE GA 30506

Officer/Director/Trustee Two

SAM SHAW
CFO, TREASURER
5847 FRANK GAILEY RD
CLERMONT GA 30527

Officer/Director/Trustee Three

TERESA STRICKLAND
SECRETARY
639 COPPERHEAD RD
CORNELIA GA 30531

Officer/Director/Trustee Four

JASON FLANAGAN
VICE CHAIRMAN
3907 BARK CAMP PLACE
GAINESVILLE GA 30506

Officer/Director/Trustee Five

VINCE MITCHEL
BOARD MEMBER
1549 HEARTLAND PATH
HOSCHTON GA 30548

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
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 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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