FORM 1023-EZ for REFORMATION HOUSE OF PRAYER

Field Data
EIN 82-1772970
Case Number EO-2018190-000604
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REFORMATION HOUSE OF PRAYER
Organization’s Mailing Address 16329 CR 2202
City TYLER
State TX
ZIP 75707-5113
Accounting period End 12
Primary contact name TIM MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND BLEVINS
VICE CHAIRMAN
1026 PRUITT PLACE
TYLER TX 75703

Officer/Director/Trustee Two

DON CRUM
CHAIRMAN
9119 ELM TREE CIRCLE
TYLER TX 75703

Officer/Director/Trustee Three

JOEL ENGE
DIRECTOR
PO BOX 1446
TYLER TX 75710

Officer/Director/Trustee Four

KERRY KIRKWOOD
DIRECTOR
4510 ABERDEEN
TYLER TX 75703

Officer/Director/Trustee Five

RAY WILSON
DIRECTOR
4307 JEFF DAVIS STREET
MARSHALL TX 75672

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/17
Organization Incorporation State TX
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAYMOND BLEVINS
Signature Title VICE CHAIRMAN
Signature Date 7/6/18

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