FORM 1023-EZ for HIS IMAGE MINISTRIES INTL

Field Data
EIN 33-1177357
Case Number EO-2020098-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS IMAGE MINISTRIES INTL
Organization’s Mailing Address 118 GARDENIA CT
City BENSON
State NC
ZIP 27504
Accounting period End 12
Primary contact name BORIS WIGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY JEWELL
BOARD MEMBER
P O BOX 17307
RALEIGH NC 27307

Officer/Director/Trustee Two

PERCY WILLIAMS
BOARD MEMBER
335 NATIONAL DRIVE
CLAYTON NC 27527

Officer/Director/Trustee Three

BORIS WIGGINS
PRESIDENT
118 GARDENIA CT
BENSON NC 27504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2007
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name BORIS WIGGINS
Signature Title PRESIDENT
Signature Date 4/5/2020

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