FORM 1023-EZ for DIVINE MISSIONS HEALTH CENTER

Field Data
EIN 81-4999583
Case Number EO-2018157-000013
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE MISSIONS HEALTH CENTER
Organization’s Mailing Address 2038 N PIERCE AVE APT B
City SPRINGFIELD
State MO
ZIP 65803
Accounting period End 1
Primary contact name RACHEAL ADEGBOYEGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEAL ADEGBOYEGA
PRESIDENT, FOUNDER
4231 S KIMBROUGH AVE
SPRINGFIELD MO 65810

Officer/Director/Trustee Two

OLUGBENGA ADEGBOYEGA
CEO, MEDIA DIRECTOR
4231 S KIMBROUGH AVE
SPRINGFIELD MO 65810

Officer/Director/Trustee Three

SUCCESS EKPENYONG
VICE PRESIDENT OF GLOBAL INITIATIVE
4231 S KIMBROUGH AVE
SPRINGFIELD MO 65810

Officer/Director/Trustee Four

ADEBOWALE ALABI
VICE PRESIDENT OF COMMUNITY PROJECT
4231 S KIMBROUGH AVE
SPRINGFIELD MO 65810

Officer/Director/Trustee Five

ADEKUNBI LAWORE
RECRUITMENT DIRECTOR
4231 S KIMBROUGH AVE
SPRINGFIELD MO 65810

Organization’s website WWW.DIVINEMISSIONSHC.ORG
Organization’s email ADMIN@DIVINEMISSIONSHC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 RACHEAL ADEGBOYEGA
Signature Title PRESIDENT, FOUNDER
Signature Date 6/2/18

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