FORM 1023-EZ for HIS LIFE THROUGH US MINISTRIES

Field Data
EIN 83-3783572
Case Number EO-2019129-000186
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS LIFE THROUGH US MINISTRIES
Organization’s Mailing Address 1425 RIDENOUR BLVD NW APT 8111
City KENNESAW
State GA
ZIP 30152-4570
Accounting period End 12
Primary contact name KATIE NATHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE NATHAN
CEO
1425 RIDENOUR BLVD NW APT 8111
KENNESAW GA 30152-4570

Officer/Director/Trustee Two

DESMOND BLUE
CFO
1295 TOWNSHIP CIRCLE
ALPHARETTA GA 30004-555

Officer/Director/Trustee Three

JILL BLUE
SECRETARY
1295 TOWNSHIP CIRCLE
ALPHARETTA GA 30004-555

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/19
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 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 KATIE NATHAN
Signature Title CEO
Signature Date 5/7/19

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