FORM 1023-EZ for UPPER ROOM WORSHIP

Field Data
EIN 46-5008037
Case Number EO-2015069-000032
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UPPER ROOM WORSHIP
Organization’s Mailing Address 4824 BRIERLY DRIVE WEST
City WEST MIFFLIN
State PA
ZIP 15122
Accounting period End 12
Primary contact name MARK A LAZZARO SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK LAZZARO
DIRECTOR
4824 Brierly Drive West
West Mifflin PA 15122-1208

Officer/Director/Trustee Two

BERNARD COLLINS
DIRECTOR
5800 SHIRLEY DRIVE
BETHEL PARK PA 15102

Officer/Director/Trustee Three

BERNARD COLLINS
DIRECTOR
5800 SHIRLEY DRIVE
BETHEL PARK PA 15102

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2014
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X81 - Religious Film, Video
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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