FORM 1023-EZ for DR SHAWN KIRK MINISTRIES

Field Data
EIN 85-3424317
Case Number EO-2020295-000806
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR SHAWN KIRK MINISTRIES
Organization’s Mailing Address 3021 NE 72ND DR STE 9-44
City VANCOUVER
State WA
ZIP 98661
Accounting period End 12
Primary contact name SHAWN KIRK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN KIRK
DIRECTOR
3021 NE 72ND DR STE 9 44
VANCOUVER WA 99301

Officer/Director/Trustee Two

CHRISTOPHER THOMAS
DIRECTOR
1521DEADFALL RD W
HODGES SC 29653

Officer/Director/Trustee Three

GLENN LEE
DIRECTOR
4903 HUNTING RIDGE RD
WILSON NC 27896

Officer/Director/Trustee Four

STEVE ROBINSON
DIRECTOR
163 LONGFELLOW DR
TIFFIN OH 44883

Officer/Director/Trustee Five

FARAJI JOHNSON
DIRECTOR
6130 WEST FLAMINGO RD 260
LAS VEGAS NV 89103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 SHAWN KIRK
Signature Title DIRECTOR
Signature Date 10/14/2020

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