FORM 1023-EZ for THE ANCIENT CHURCH LTD

Field Data
EIN 84-4783263
Case Number EO-2020056-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ANCIENT CHURCH LTD
Organization’s Mailing Address 1930 PACIFIC AVE
City FOREST GROVE
State OR
ZIP 97116-2326
Accounting period End 12
Primary contact name RICHARD WHITTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HAILEY
PRESIDENT
10990 NW SEAVEY ROAD
FOREST GROVE OR 97116-7704

Officer/Director/Trustee Two

JOANNA HAILEY
SECRETARY
10990 NW SEAVEY ROAD
FOREST GROVE OR 97116-7704

Organization’s website THEANCIENTCHURCH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL HAILEY
Signature Title PRESIDENT
Signature Date 2/22/2020

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