FORM 1023-EZ for SAVING SUSAN MINISTRY INC

Field Data
EIN 47-3041699
Case Number EO-2015044-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAVING SUSAN MINISTRY INC
Organization’s Mailing Address 5205 STILESBORO RD NW STE 120
City KENNESAW
State GA
ZIP 30152-7765
Accounting period End 12
Primary contact name EMMA BRUBAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAY ARNTZEN
PRESIDENT
5984 DOWNINGTON PT NW
ACWORTH GA 30101-8476

Officer/Director/Trustee Two

TRACY ARNTZEN
SECRETARY
5984 DOWNINGTON PT NW
ACWORTH GA 30101-8476

Officer/Director/Trustee Three

EMMA BRUBAKER
TREASURER
4045 GEORGE BUSBEE PKWY NW APT14304
KENNESAW GA 30144-4885

Organization’s website WWW.SAVINGSUSANMINISTRY.ORG
Organization’s email EMMA@SAVINGSUSANMINISTRY.ORG TRACY@SAVINGSUSANMINISTRY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 Yes
Conducting Activities Outside of United States Yes
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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