FORM 1023-EZ for BREAD OF LIFE WORLD OUTREACH MINISTRIES INC

Field Data
EIN 20-2698266
Case Number EO-2015140-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAD OF LIFE WORLD OUTREACH MINISTRIES INC
Organization’s Mailing Address 1038 NORTH MAIN STREET
City EMPORIA
State VA
ZIP 23847
Accounting period End 12
Primary contact name BENJAMIN TROTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORNELL BOWERS
PRESIDENT
4719 CENTRAL DRIVE APT 5-6
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Two

ROGER PEEBLES
CHURCH SECRETARY
941 STURGEAN ROAD
LAWRENCEVILLE VA 23868

Officer/Director/Trustee Three

NICOLE TROTTER
VICE PRESIDENT
1801 DEBBIE LANE
RICHMOND VA 23222

Officer/Director/Trustee Four

CHARLES WHITE
TRUSTEE
117 WOODGATE ROAD
PITTSBURGH PA 15235-4168

Officer/Director/Trustee Five

BENJAMIN TROTTER
PASTOR
703 HALIFAX STREET
EMPORIA VA 23847

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2012
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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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