FORM 1023-EZ for ACCOUNTABLE PRISON MINISTRY

Field Data
EIN 83-0579039
Case Number EO-2018178-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACCOUNTABLE PRISON MINISTRY
Organization’s Mailing Address 2720 LISBURN ROAD
City CAMP HILL
State PA
ZIP 17011
Accounting period End 12
Primary contact name KEITH SULTZBAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH SULTZBAUGH
PRESIDENT
2720 LISBURN ROAD
CAMP HILL PA 17011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
Organization’s purpose Charitable: Yes
Religious: No
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 KEITH SULTZBAUGH
Signature Title PRESIDENT
Signature Date 6/25/18

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