FORM 1023-EZ for BAPTIST MINISTERS CONFERENCE OF GOOCHLAND AND VICINITY

Field Data
EIN 85-1457190
Case Number EO-2020174-000644
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAPTIST MINISTERS CONFERENCE OF GOOCHLAND AND VICINITY
Organization’s Mailing Address 1425 SARGENT RD
City CROZIER
State VA
ZIP 23039
Accounting period End 12
Primary contact name REVEREND HAFIZ AHMAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REVEREND ADLAI C ALLEN
PRESIDENT
4605 THREE SQUARE ROAD
GOOCHLAND VA 23063

Officer/Director/Trustee Two

REVEREND CAROLYN W ROBINSON
VICE PRESIDENT
347 THREE CHOPT ROAD
MANAKIN-SABOT VA 23103

Officer/Director/Trustee Three

REVEREND HAFIZ AHMAD
TREASURER
1425 SARGENT RD
CROZIER VA 23039

Officer/Director/Trustee Four

REVEREND WANDA A TAYLOR
SECRETARY
830 DUCK POND ROAD
MANAKIN-SABOT VA 23103

Officer/Director/Trustee Five

REVEREND ZITA LEE
CORRESPONDING SECRETARY
2432 MAIDENS ROAD
MAIDENS VA 23102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 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 REVEREND HAFIZ AHMAD
Signature Title TREASURER
Signature Date 6/18/2020

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