FORM 1023-EZ for HIS BELOVED JEWELS MINISTRIES

Field Data
EIN 85-1995714
Case Number EO-2021021-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS BELOVED JEWELS MINISTRIES
Organization’s Mailing Address 2876 WAVERLEY WAY
City LIVERMORE
State CA
ZIP 94551
Accounting period End 12
Primary contact name NANCY ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY ADAMS
PRESIDENT& DIRECTOR
2876 WAVERLEY WAY
LIVERMORE CA 94551

Officer/Director/Trustee Two

WILLIAM ADAMS
TREASURER
2876 WAVERLEY WAY
LIVERMORE CA 94551

Officer/Director/Trustee Three

LINDA AMANDA GORDON
VICE-PRESIDENT
3612 CANNONADE COURT
WEST LAYEYETTE IN 47906

Officer/Director/Trustee Four

LESLIE CLARKSON
DIRECTOR
30423 PICKLE
BULVERDE TX 78163

Organization’s website HTTPS://HISBELOVEDJEWELS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State CA
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NANCY ADAMS
Signature Title PRESIDENT& DIRECTOR
Signature Date 11/24/2020

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