FORM 1023-EZ for BLACK RIVER MINISTRIES CORPORATION

Field Data
EIN 84-3831596
Case Number EO-2019347-000247
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK RIVER MINISTRIES CORPORATION
Organization’s Mailing Address 7858 BELLVIEW RD 103
City BUFFALO
State MT
ZIP 59418
Accounting period End 4
Primary contact name MICHAEL MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MOORE
TREASURER
PO BOX 103
BUFFALO MT 59418

Officer/Director/Trustee Two

HANNAH MOORE
PRESIDENT
PO BOX 103
BUFFALO MT 59418

Officer/Director/Trustee Three

TJ LATHROM
SECRETARY
2615 SE 103RD AVE
PORTLAND OR 97266

Organization’s website BLACKRIVERMINISTRIES.COM
Organization’s email BLACKRIVERMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State MT
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: 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 No
Correctness Declaration Yes
Signature Name MICHAEL MOORE
Signature Title TREASURER
Signature Date 12/10/2019

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