FORM 1023-EZ for SINGLE AND HEALED MINISTRIES

Field Data
EIN 85-2340178
Case Number EO-2020260-000059
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGLE AND HEALED MINISTRIES
Organization’s Mailing Address 401 GREEN DRIVE
City GOLDSBORO
State NC
ZIP 27534
Accounting period End 12
Primary contact name JEANNIE JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNIE JACKSON
FOUNDER
401 GREEN DRIVE
GOLDSBORO NC 27534

Officer/Director/Trustee Two

APRIL ROBERTSON
ADMINISTRATIVE ASSISTANT
1220 LIVE OAK CHURCH ROAD
SELMA NC 27576

Officer/Director/Trustee Three

CAROLYN BALLEN
ADMINISTRATIVE ASSISTANCE
4414 GREY SQUIRREL DRIVE
LAGRANGE NC 28551

Officer/Director/Trustee Four

ROSA DAVIS
PLANNING ADVISOR- SECRETARY
3208 CRESTWOOD DRIVE
KINSTON NC 28504

Officer/Director/Trustee Five

VICKIE MOBLEY
ADMINISTRATIVE ASSISTANT
158 S MARION DRIVE
GOLDSBORO NC 27534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 JEANNIE JACKSON
Signature Title FOUNDER
Signature Date 9/14/2020

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