FORM 1023-EZ for RETREAT FROM THE STREET MINISTRIESINC

Field Data
EIN 47-1528121
Case Number EO-2015187-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RETREAT FROM THE STREET MINISTRIESINC
Organization’s Mailing Address 835 N HWY 27
City ROOPVILLE
State GA
ZIP 30170
Accounting period End 12
Primary contact name GARY TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN PEEPLES
PRESIDENT
835 N HWY 27
ROOPVILLE GA 30170

Officer/Director/Trustee Two

LARRY HAYNIE
VICE PRESIDENT
835 N HWY 27
ROOPVILLE GA 30170

Officer/Director/Trustee Three

PAT WOOD
TREASURER
835 N HWY 27
ROOPVILLE GA 30170

Officer/Director/Trustee Four

STACY JACKSON
SECRETARY
183 STONEY POINT ROAD
BOWDON GA 30108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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
Signature Title
Signature Date

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