FORM 1023-EZ for IN GODS IMAGE

Field Data
EIN 84-3835659
Case Number EO-2020051-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IN GODS IMAGE
Organization’s Mailing Address PO BOX 62990
City LAFAYETTE
State LA
ZIP 70596
Accounting period End 12
Primary contact name COREY JACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY RHODMAN
DIRECTOR
7 PICASSO CT
RANCHO MIRAGE CA 92770

Officer/Director/Trustee Two

CHRIS OZENE
DIRECTOR
1484 ORO VISTA RD
SAN DIEGO CA 92154

Officer/Director/Trustee Three

JACINTA RHODMAN
DIRECTOR
7 PICASSO CT
RANCHO MIRAGE CA 92770

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 CHRIS OZENE
Signature Title DIRECTOR
Signature Date 2/18/2020

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