FORM 1023-EZ for MISSION NUMBER NINE

Field Data
EIN 83-2793321
Case Number EO-2019095-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSION NUMBER NINE
Organization’s Mailing Address 643 WESTSHIRE CT NW
City COMSTOCK PARK
State MI
ZIP 49321-9327
Accounting period End 12
Primary contact name DEREK PLUMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK PLUMB
DIRECTOR OF OPERATIONS
643 WESTSHIRE CT NW
COMSTOCK PARK MI 49321-9327

Officer/Director/Trustee Two

STEVEN TIBBE
DIRECTOR OF DEVELOPMENT
237 LUCE ST SW
GRAND RAPIDS MI 49534-9607

Officer/Director/Trustee Three

BLAKE MEINKE
CHIEF TECHNOLOGY OFFICER
4268 DAWES CT
GRAND RAPIDS MI 49508-3740

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
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 DEREK PLUMB
Signature Title DIRECTOR OF OPERATIONS
Signature Date 4/3/19

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