FORM 1023-EZ for PENTECOSTAL TEMPLE COMMUNITY OUTREACH MINISTRIES

Field Data
EIN 81-4770491
Case Number EO-2017097-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENTECOSTAL TEMPLE COMMUNITY OUTREACH MINISTRIES
Organization’s Mailing Address 2602 CONCORD ST
City FLINT
State MI
ZIP 48504
Accounting period End 12
Primary contact name CAROLYN SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SANDERS
VICE PRESIDENT
2602 CONCORD ST
FLINT MI 48504

Officer/Director/Trustee Two

CAROLYN SANDERS
PRESIDENT
2602
FLINT MI 48504

Officer/Director/Trustee Three

CAROLYN WELLS
DIRECTOR
410 W PEIRSON RD
FLINT MI 48505

Officer/Director/Trustee Four

ROBERTA WALLER
DIRECTOR
2435 BARKS
FLINT MI 48503

Officer/Director/Trustee Five

ADA LEE
DIRECTOR
1277 CRIMSONROSE DRIVE
MT MORRIS MI 48458

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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