FORM 1023-EZ for HEALING ROOMS PRAYER CENTER OF MAYFIELD-GRAVES COUNTY INC

Field Data
EIN 47-5064661
Case Number EO-2016015-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEALING ROOMS PRAYER CENTER OF MAYFIELD-GRAVES COUNTY INC
Organization’s Mailing Address 609 WEST BROADWAY
City MAYFIELD
State KY
ZIP 42066
Accounting period End 10
Primary contact name MARY J MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES MILLS
PRESIDENT
100 SHOLAR ROAD
MAYFIELD KY 42066

Officer/Director/Trustee Two

JAMES M MILLS JR
VICE PRESIDENT
1063 SWAN ROAD
SEDALIA KY 42079

Officer/Director/Trustee Three

MARY J MILLS
SECRETARY-TREASURER
100 SHOLAR ROAD
MAYFIELD KY 42066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State KY
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 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 No
One Third Support Gifts Yes
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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