FORM 1023-EZ for SERVING THE SERVANTS LEADERSHIP EMPOWERMENT MINISTRY

Field Data
EIN 83-1719113
Case Number EO-2021124-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVING THE SERVANTS LEADERSHIP EMPOWERMENT MINISTRY
Organization’s Mailing Address 1644 TOM WILLIAMS DR SUITE 2
City FARGO
State ND
ZIP 58103
Accounting period End 12
Primary contact name PAULETTE WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULETTE WALKER
CEO
4085 50TH AVE S
FARGO ND 58104-6564

Officer/Director/Trustee Two

LELIA POPP
DIRECTOR
3458 SHADOW WOOD LANE
WEST FARGO ND 58078

Officer/Director/Trustee Three

CARLA LEITHEISER
DRIECTOR
1221 MORNING SIDE DR
CASSELTON ND 58012

Officer/Director/Trustee Four

EBONY JUNEAU
PO BOX 261
PO BOX 261
RIVERSIDE TX 77340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2018
Organization Incorporation State ND
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 PAULETTE WALKER
Signature Title CEO
Signature Date 5/2/2021

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