FORM 1023-EZ for FEARFULLY AND WONDERFULLY MADE MINISTRY

Field Data
EIN 46-3240582
Case Number EO-2015253-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FEARFULLY AND WONDERFULLY MADE MINISTRY
Organization’s Mailing Address 1020 GLENHURST WAY
City CLARKSVILLE
State TN
ZIP 37040
Accounting period End 12
Primary contact name DELORES LAKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DELORES LAKES
DIRECTOR
1020 GLENHURST WAY
CLARKSVILLE TN 37040

Officer/Director/Trustee Two

ELIZABETH PRITCHETT-DIXON
ASSISTANT DIRECTOR
2863 TRELAWNY DRIVE
CLARKSVILLE TN 37043

Officer/Director/Trustee Three

DONNA ROBINSON-HARRIS
CHIEF FINANCIAL OFFICER
1041 PERSIMMON
CLARKSVILLE TN 37042

Officer/Director/Trustee Four

SHALONDA MAXIE
SECRETARY
411 MERRIWOOD PKY
HOPKINSVILLE KY 42240

Organization’s website WWW.FACEBOOK.COM/FEARFULLYNWONDERFULLY
Organization’s email FEARFULLYMWW@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2013
Organization Incorporation State TN
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: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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