FORM 1023-EZ for PHILLIP KELLEY MINISTRIES INC

Field Data
EIN 46-4273679
Case Number EO-2015275-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHILLIP KELLEY MINISTRIES INC
Organization’s Mailing Address 15685 S BLACKFEATHER ST
City OLATHE
State KS
ZIP 66062
Accounting period End 12
Primary contact name DAVID SCHLOTZHAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHILLIP KELLEY
PRESIDENT, CHAIRMAN OF BOARD
15685 S BLACKFEATHER ST
OLATHE KS 66062

Officer/Director/Trustee Two

DAVID SCHLOTZHAUER
BOARD MEMBER
4500 W 128TH ST
LEAWOOD KS 66029

Officer/Director/Trustee Three

JOHN WELBORN
BOARD MEMBER
1211 WOODCREST CIRCLE
HARRISONBURG VA 22801

Officer/Director/Trustee Four

DAVID WATTERSON
BOARD MEMBER
1641 WOODS TRAIL
EIGHT MILE AL 36613

Officer/Director/Trustee Five

CLAY BARTON
BOARD MEMBER
7100 BRODIE LANE
AUSTIN TX 78745

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2013
Organization Incorporation State KS
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 Yes
Donation of funds No
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 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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