FORM 1023-EZ for WILLITS FREE HOLINESS CHURCH

Field Data
EIN 47-5022773
Case Number EO-2015286-000029
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLITS FREE HOLINESS CHURCH
Organization’s Mailing Address 291 SCHOOL ST
City WILLITS
State CA
ZIP 95490-3434
Accounting period End 12
Primary contact name JEFFREY WOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILLIP STEPHENS
CHAIRMAN
1820 PENINSULA
ARCATA CA 95521-9640

Officer/Director/Trustee Two

NATE MCCOY
CHAIRPERSON
6517 MARINE AVE
ARBUCKLE CA 95912-9780

Officer/Director/Trustee Three

JEFFREY WOOD
SECRETARY, TREASURER
3404 STATE HIGHWAY 70
OROVILLE CA 95965-9698

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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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