FORM 1023-EZ for DOUBLE NICKEL MISSIONS

Field Data
EIN 86-3095754
Case Number EO-2021104-000011
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUBLE NICKEL MISSIONS
Organization’s Mailing Address 7100 N COVENTRY AVE
City KANSAS CITY
State MO
ZIP 64151
Accounting period End 12
Primary contact name JONAEE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN DIETRICH
PRESIDENT
7100 N COVENTRY AVE
KANSAS CITY MO 64151

Officer/Director/Trustee Two

MIKE GUTSHALL
SECRETARY
514 TAYLOR DR
LIBERTY MO 64068

Officer/Director/Trustee Three

ED ENYEART
TREASURER
10802 NE 106TH TERRACE
KANSAS CITY MO 64157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 ALAN DIETRICH
Signature Title PRESIDENT
Signature Date 4/7/2021

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