FORM 1023-EZ for PASTOR TRAINING INTERNATIONAL

Field Data
EIN 61-1930252
Case Number EO-2019163-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PASTOR TRAINING INTERNATIONAL
Organization’s Mailing Address 1307 BAILEY CT
City ADEL
State IA
ZIP 50003
Accounting period End 12
Primary contact name THOMAS HEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HEIN
CHAIRMAN
24675 QUAIL AVE
ADEL IA 50003

Officer/Director/Trustee Two

THOMAS HEIN
VICE-CHAIRMAN
1307 BAILEY CT
ADEL IA 50003

Officer/Director/Trustee Three

MATT RYCHNOVSKY
TREASURER
21884 OLD HIGHWAY 6
ADEL IA 50003

Officer/Director/Trustee Four

TRACE KENDIG
SECRETARY
1812 W CHEYENNE CT
POLK CITY IA 50226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X02 - Management & Technical Assistance
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 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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS HEIN
Signature Title VICE-CHAIRMAN
Signature Date 6/10/19

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