FORM 1023-EZ for KINGSWAY MINISTRIES INC

Field Data
EIN 81-1700606
Case Number EO-2016221-000056
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINGSWAY MINISTRIES INC
Organization’s Mailing Address C/O AA BOOKKEEPING 222 LEE ST SW
City TUMWATER
State WA
ZIP 98501
Accounting period End 12
Primary contact name ERNEST ROBELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRANT RUSSELL
PRESIDENT
4229 GRAVELLY BEACH RD NW
OLYMPIA WA 98502

Officer/Director/Trustee Two

LAURA RUSSELL
DIRECTOR
4229 GRAVELLY BEACH RD NW
OLYMPIA WA 98502

Officer/Director/Trustee Three

DANNY DEAN
DIRECTOR
4805 GOAT ROCKS CT
YAKIMA WA 98901

Officer/Director/Trustee Four

CHERYL DEAN
DIRECTOR
4805 GOAT ROCKS CT
YAKIMA WA 98901

Officer/Director/Trustee Five

DENNIS SULLIVAN
DIRECTOR
3016 N 28TH ST
TACOMA WA 98407

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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