FORM 1023-EZ for THE MINISTRY AT NINE MILE

Field Data
EIN 81-3523274
Case Number EO-2016319-000675
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MINISTRY AT NINE MILE
Organization’s Mailing Address 7143 WILLOW CREEK RD
City FORT WORTH
State TX
ZIP 76135
Accounting period End 12
Primary contact name KATHERINE M MANGUM PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHERINE MANGUM
PRESIDENT
7143 WILLOW CREEK RD
FORT WORTH TX 76135

Officer/Director/Trustee Two

DARLENE MANGUM
SECRETARY
6281 DEWOLFE LN
FORT WORTH TX 76135

Officer/Director/Trustee Three

ADRIANA CLINE
ACCOUNTANT
3918 KEARBY ST
HALTOM CITY TX 76111

Officer/Director/Trustee Four

DEBORAH BOAK
GRANT WRITER
7900 MOSS ROCK DR
FORT WORTH TX 76123

Officer/Director/Trustee Five

ADRIENNE TREVINO
BOARD MEMBER
4501 ANCHOR CT
FORT WORTH TX 76135

Organization’s website WWW.THEMINISTRYATNINEMILE.ORG
Organization’s email MINISTRYAT9MILE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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
Signature Title
Signature Date

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