FORM 1023-EZ for DEEP ROOTS MINISTRIES INC

Field Data
EIN 83-4254450
Case Number EO-2019114-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEEP ROOTS MINISTRIES INC
Organization’s Mailing Address 1405 SEDGEFIELD TRAIL
City BETHLEHEM
State GA
ZIP 30620-3320
Accounting period End 12
Primary contact name RICHARD CLINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD CLINTON
PRESIDENT/DIRECTOR
1405 SEDGEFIELD TRAIL
BETHLEHEM GA 30620-3320

Officer/Director/Trustee Two

CHET FOWLER
TREASURER/DIRECTOR
3071 MAPLE COVE CT
LOGANVILLE GA 30052-3847

Officer/Director/Trustee Three

DALLAS HAUPT
SECRETARY/DIRECTOR
1191 CRISWELL RD
MONROE GA 30655-6031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/19
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 Yes
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 RICHARD CLINTON
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/22/19

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