FORM 1023-EZ for I AM FAITH MINISTRIES INC

Field Data
EIN 84-3086443
Case Number EO-2021097-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM FAITH MINISTRIES INC
Organization’s Mailing Address P O BOX 553
City WARRENTON
State NC
ZIP 27589
Accounting period End 12
Primary contact name TANISHA LYONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY WORTHAM-MOORE
SENIOR PASTOR
343 AIRPORT ROAD
WARRENTON NC 27589

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
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 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 SHIRLEY WORTHAM-MOORE
Signature Title SENIOR PASTOR
Signature Date 3/11/2021
EIN 84-3086443
Case Number EO-2021097-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM FAITH MINISTRIES INC
Organization’s Mailing Address P O BOX 553
City WARRENTON
State NC
ZIP 27589
Accounting period End 12
Primary contact name TANISHA LYONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY WORTHAM-MOORE
SENIOR PASTOR
343 AIRPORT ROAD
WARRENTON NC 27589

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
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 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 SHIRLEY WORTHAM-MOORE
Signature Title SENIOR PASTOR
Signature Date 3/11/2021

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