FORM 1023-EZ for COURAGEOUS SERVANT MINISTRIES INCORPORATED

Field Data
EIN 47-3634094
Case Number EO-2015121-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COURAGEOUS SERVANT MINISTRIES INCORPORATED
Organization’s Mailing Address 5648 BURRUSS RD
City CUMMING
State GA
ZIP 30028
Accounting period End 12
Primary contact name DAN CRUMLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAN CRUMLEY
PRESIDENT
5648 BURRUSS RD
CUMMING GA 30028

Officer/Director/Trustee Two

RACHEL CRUMLEY
SECRETARY / TREASURER
5648 BURRUSS RD
CUMMING GA 30028

Officer/Director/Trustee Three

CHUCK COOK
BOARD MEMBER
177 ACADEMY WOODS DR
JEFFERSON GA 30549

Officer/Director/Trustee Four

ERIC THURMOND
BOARD MEMBER
169 PINE STREET
COMMERCE GA 30529

Officer/Director/Trustee Five

TODD COBLE
BOARD MEMBER
5004 WEAVER RD
GAINESVILLE GA 30507

Organization’s website WWW.COURAGEOUSSERVANTMINISTRIES.COM
Organization’s email COURAGEOUSSERVANTMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2015
Organization Incorporation State GA
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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