FORM 1023-EZ for PSALM 23 CORPORAL WORKS OF MERCY

Field Data
EIN 85-1284876
Case Number EO-2021125-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PSALM 23 CORPORAL WORKS OF MERCY
Organization’s Mailing Address 4831 E CLINTON AVE
City FRESNO
State CA
ZIP 93703
Accounting period End 12
Primary contact name JAMES JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES JOHNSON
PRESIDENT
4831 E CLINTON AVE
FRESNO CA 93703

Officer/Director/Trustee Two

JOHN JONNYWORTH
VICE PRESIDENT
4831 E CLINTON AVE
FRESNO CA 93703

Officer/Director/Trustee Three

JOHN ROBLYER
SECRETARY TREASURER
4831 E CLINTON AVE
FRESNO CA 93703

Officer/Director/Trustee Four

MARK PETERSON
DIRECTOR
4831 E CLINTON AVE
FRESNO CA 93703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
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 JAMES JOHNSON
Signature Title PRESIDENT
Signature Date 5/3/2021

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