FORM 1023-EZ for MT ZION BAPTIST CHURCH

Field Data
EIN 61-1197753
Case Number EO-2017165-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MT ZION BAPTIST CHURCH
Organization’s Mailing Address 1213 WALTER JETTON BLVD
City PADUCAH
State KY
ZIP 42003
Accounting period End 12
Primary contact name ROBERT E SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT E SIMMONS
TRUSTEE,DEACON,CHAIRMAN OF FINANCE
1122 TENNESSEE STREET
PADUCAH KY 42003-2045

Officer/Director/Trustee Two

JAMES JOHNSON
TRUSTEE
1024 TENNESSEE STREET
PADUCAH KY 42003

Officer/Director/Trustee Three

WAYNE FOWLER
TRUSTEE
300 LEGION STREET APT 1
PADUCAH KY 42003

Officer/Director/Trustee Four

CHARLES NEWBY
TRUSTEE
801 MCQUIRE STREET
PADUCAH KY 42003

Officer/Director/Trustee Five

MICHAEL BADY
TRUSTEE
1173 N 11TH STREET
PADUCAH KY 42003

Organization’s website
Organization’s email MMVHS1951@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2000
Organization Incorporation State KY
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
Signature Title
Signature Date

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