FORM 1023-EZ for AMERICAN FAMILY NETWORK INC

Field Data
EIN 82-3797487
Case Number EO-2021049-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN FAMILY NETWORK INC
Organization’s Mailing Address 1336 IRIS COURT
City SAN JOSE
State CA
ZIP 95125
Accounting period End 12
Primary contact name NEIL MAMMEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NEIL MAMMEN
PRESIDENT / TREAS / DIR
1336 IRIS COURT
SAN JOSE CA 95125

Officer/Director/Trustee Two

GEORGE TADDIE
SECRETARY / DIRECTOR
107 PARK GATE DRIVE
TUPELO MS 38801

Officer/Director/Trustee Three

TIM WILDMON
DIRECTOR
107 PARK GATE DRIVE
TUPELO MS 38801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NEIL MAMMEN
Signature Title PRESIDENT / TREAS / DIR
Signature Date 12/10/2020

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