FORM 1023-EZ for MISSION LADY MINISTRIES

Field Data
EIN 82-3835694
Case Number EO-2018036-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION LADY MINISTRIES
Organization’s Mailing Address 552 N LIBERTY ST
City BELLEVILLE
State MI
ZIP 48111
Accounting period End 12
Primary contact name DERRICK A HUMPHRIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARARETHA SPENCER
DIRECTOR
552 N LIBERTY ST
BELLEVILLE MI 48111

Officer/Director/Trustee Two

CANI MCMILLIAN
DIRECTOR
3505 W CLARK RD APT A105
DEWITT MI 48820

Officer/Director/Trustee Three

VERNA ANDERSON
DIRECTOR
5404 NW 84TH TERRACE APT 134
KANSAS CITY MO 64154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
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 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 CLARARETHA SPENCER
Signature Title DIRECTOR
Signature Date 2/1/18

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