FORM 1023-EZ for EZRA MINISTRY

Field Data
EIN 45-2905413
Case Number EO-2015244-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EZRA MINISTRY
Organization’s Mailing Address PO BOX 67
City PELHAM
State TN
ZIP 37366
Accounting period End 12
Primary contact name JOHN E BURGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN BURGE
PRESIDENT
170 BOB WHITE
MANCHESTER TN 37355

Officer/Director/Trustee Two

BRAD GRISWOLD
VICE PRESIDENT
3316 BOONEVILLE CIRCLE
CHATTANOOGA TN 37419

Officer/Director/Trustee Three

MARK DUKE
SECRETARY
170 BOB WHITE
MANCHESTER TN 37355

Officer/Director/Trustee Four

SCOTTIE LEDFORD
TREASURER
277 HILL-COULSON
DECHERD TN 37324

Officer/Director/Trustee Five

FRIEDA SHERRILL
MEMBER
149 RUTLEDGE FORD ROAD
HILLSBORO TN 37342

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2011
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
Conducting Activities Outside of United States Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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