FORM 1023-EZ for SACKCLOTH AND ASHES MINISTRIES INCORPORATED

Field Data
EIN 82-5458467
Case Number EO-2018152-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SACKCLOTH AND ASHES MINISTRIES INCORPORATED
Organization’s Mailing Address 1102 LAKESIDE VILLA DRIVE
City HAMPTON
State GA
ZIP 30228
Accounting period End 12
Primary contact name LISA FAYE PRINCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA PRINCE
CEO
1102 LAKESIDE VILLA DRIVE
HAMPTON GA 30228

Officer/Director/Trustee Two

BEVERLY ANNETTE WASHINGTON
SECRETARY
403 OLIVE STREET
HINESVILLE GA 31313

Officer/Director/Trustee Three

TIMOTHY WHITE
CFO
1102 LAKESIDE VILLA DRIVE
HAMPTON GA 30228

Officer/Director/Trustee Four

LISA FAYE PRINCE
REGISTERED AGENT
1102 LAKESIDE VILLA DRIVE
HAMPTON GA 30228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/18
Organization Incorporation State GA
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: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 LISA FAYE PRINCE
Signature Title REGISTERED AGENT
Signature Date 5/30/18

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