FORM 1023-EZ for PAY IT FORWARD MINISTRIES INCORPORATED

Field Data
EIN 47-5158776
Case Number EO-2017166-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAY IT FORWARD MINISTRIES INCORPORATED
Organization’s Mailing Address 4169 SALEM SPRINGS COURT
City WINSTON SALEM
State NC
ZIP 27107
Accounting period End 12
Primary contact name MICHAEL THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL THOMAS
PRESIDENT
4169 SALEM SPRINGS CT
WINSTON SALEM NC 27107

Officer/Director/Trustee Two

FAITH THOMAS
VICE PRESIDENT
4169 SALEM SPRINGS CT
W NC 27107

Officer/Director/Trustee Three

NORMAN AUTRY
DIRECTOR
6607 HERNDON ROAD
DURHAM NC 27713

Officer/Director/Trustee Four

JUDY FALLEN
DIRECTOR
218 PURDUMS ROAD
DANVILLE VA 24540

Officer/Director/Trustee Five

JERVAIS SEEGARS
DIRECTOR
320 CRESCENT VILLAGE DRIVE
SAN JOSE CA 95134

Organization’s website WWW.PFM-ONLINE.ORG
Organization’s email INFO@PFM-ONLINE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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