FORM 1023-EZ for AN EXCELLENT WAY MINISTRY

Field Data
EIN 81-4167590
Case Number EO-2016295-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AN EXCELLENT WAY MINISTRY
Organization’s Mailing Address PO BOX 608
City VALDOSTA
State GA
ZIP 31603
Accounting period End 9
Primary contact name DORENDA MIDDLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORENDA MIDDLETON
PRESIDENT
PO BOX 608
VALDOSTA GA 31603

Officer/Director/Trustee Two

SIMON MIDDLETON
VICE PRESIDENT
P O BOX 608
VALDOSTA GA 31603

Officer/Director/Trustee Three

MARY MOORE
TREASURER
PO BOX 608
VALDOSTA GA 31603

Officer/Director/Trustee Four

EDWIN MOORE
MEDICAL DIRECTOR
P O BOX 608
VALDOSTA GA 31603

Officer/Director/Trustee Five

DONNA BRYCE WRIGHT
ASST MEDICAL DIRECTOR
P O BOX 608
VALDOSTA GA 31603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2016
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: Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
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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