FORM 1023-EZ for CROSSROADS MINISTRIES OF SUPERIOR INC

Field Data
EIN 81-0786924
Case Number EO-2016006-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSROADS MINISTRIES OF SUPERIOR INC
Organization’s Mailing Address 402 E 2ND STREET
City SUPERIOR
State WI
ZIP 54880
Accounting period End 12
Primary contact name GLENN GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY MELLER
DIRECTOR
108 HOMECROFT COURT
SUPERIOR WI 54880

Officer/Director/Trustee Two

CINDY FENNESSEY
DIRECTOR
3804 E 10TH STREET
SUPERIOR WI 54880

Officer/Director/Trustee Three

GLENN GRANT
DIRECTOR
402 E 2ND STREET
SUPERIOR WI 54880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State WI
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
Signature Title
Signature Date

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