FORM 1023-EZ for RE-GENERATION MINISTRIES

Field Data
EIN 83-3286002
Case Number EO-2019039-001004
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RE-GENERATION MINISTRIES
Organization’s Mailing Address 230 CYPRESS DRIVE
City DECATUR
State AL
ZIP 35603-5953
Accounting period End 12
Primary contact name KAREN A STOUT-PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN A STOUT
PRESIDENT, DIRECTOR
230 CYPRESS DRIVE
DECATUR AL 35603

Officer/Director/Trustee Two

DARYL RANDOLPH
TREASURER, DIRECTOR
940 HUTCHINS AVE
GADSDEN AL 35901

Officer/Director/Trustee Three

JESSE MCCORKLE
DIRECTOR
230 CYPRESS DRIVE
DECATUR AL 35603

Officer/Director/Trustee Four

ROBERT MCCORKLE
DIRECTOR
2310 E HOWARD ROAD
OBETZ OH 43207

Officer/Director/Trustee Five

LORI KEY
DIRECTOR
1130 W DIVISION STREET
ARLINGTON TX 76012

Organization’s website N/A
Organization’s email REGENERATIONMINISTRIES.INFO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 KAREN A STOUT
Signature Title PRESIDENT, DIRECTOR
Signature Date 2/6/19

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