FORM 1023-EZ for AGAPE AFFIRMING MINISTRIES

Field Data
EIN 84-2853363
Case Number EO-2020125-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGAPE AFFIRMING MINISTRIES
Organization’s Mailing Address 7848 PARKMONT DR
City MEMPHIS
State TN
ZIP 38125
Accounting period End 4
Primary contact name ELISE SAULSBERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENYA JACKSON
TREASURER
1018 SIGNATURE GLEN CIR N 302
COLLIERVILLE TN 38017

Officer/Director/Trustee Two

NABRAUSKI THOMAS
CHAIRMAN
400 PEACHTREE ST NW S4 U5154
ATLANTA GA 30308

Officer/Director/Trustee Three

HAZEL WILLIAMS
SECRETARY
1342 W 114TH ST
CLEVELAND OH 44102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2020
Organization Incorporation State TN
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: Yes
Educational: Yes
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 HAZEL WILLIAMS
Signature Title SECRETARY
Signature Date 4/30/2020

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