FORM 1023-EZ for CAC FOUNTAIN OF LIFE MINISTRY

Field Data
EIN 84-1949482
Case Number EO-2019156-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAC FOUNTAIN OF LIFE MINISTRY
Organization’s Mailing Address 2716 WATER OAK DRIVE
City DALLAS
State TX
ZIP 75247
Accounting period End 12
Primary contact name MUILI ADEBAYO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MUILI ADEBAYO
PRESIDENT
3528 IRVING BLVD
DALLAS TX 75247

Officer/Director/Trustee Two

ADEOLA ADEBAYO
VICE PRESIDENT
3528 IRVING BLVD
DALLAS TX 75247

Officer/Director/Trustee Three

SEGUN OLADEPO
SECRETARY
3528 IRVING BLVD
DALLAS TX 75247

Officer/Director/Trustee Four

OLUWAFEMI FOLORUNSO
TREASURER
3528 IRVING BLVD
DALLAS TX 75247

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/19
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: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: Yes
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 MUILI ADEBAYO
Signature Title PRESIDENT
Signature Date 6/3/19

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