FORM 1023-EZ for SAMARIA BIBLE MINISTRIES

Field Data
EIN 80-0742123
Case Number EO-2016014-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMARIA BIBLE MINISTRIES
Organization’s Mailing Address P O BOX 37064
City ST. LOUIS
State MO
ZIP 63141
Accounting period End 12
Primary contact name ELIZABETH BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH BROWN
EXECUTIVE DIRECTOR
P O BOX 37064
CREVE COEUR MO 63141

Officer/Director/Trustee Two

ODIE SMITH
PRESIDENT
13109 BRENDAN WOOD DRIVE
FLORISSANT MO 63033

Officer/Director/Trustee Three

LOLLI GORE
VICE PRESIDENT
7798 TIMBERLAND STREET
LAS VEGAS NV 89123

Officer/Director/Trustee Four

SHIRLEY WOODS
CHIEF FINANCIAL OFFICER
13813 CUMIN STEET
MORINO VALLEY CA 92555

Officer/Director/Trustee Five

JUANITA FAULKNER
SECRETARY
109 WINDSOR POND COURT
WEST WINDSOR NJ 08550

Organization’s website HTTP://ODIESMITH2000.WIX.COM/SAMARIA
Organization’s email SAMARIABIBLEMINISTRIES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2012
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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