FORM 1023-EZ for NEW DESTINY APOSTOLIC CHURCH

Field Data
EIN 27-1983113
Case Number EO-2015205-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW DESTINY APOSTOLIC CHURCH
Organization’s Mailing Address 7174 MANCHESTER ROAD
City MAPLEWOOD
State MO
ZIP 63143
Accounting period End 12
Primary contact name DAWN MEDINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EARL ADAM MEDINA
PRESIDENT
7174 MANCHESTER ROAD
MAPLEWOOD MO 63143

Officer/Director/Trustee Two

TIMOTHY DUGAS
DIRECTOR
965 ANGLUM ROAD
HAZELWOOD MO 63143

Officer/Director/Trustee Three

DANIEL BLASH
DIRECTOR
1323 SULLIVAN AVENUE
ST. LOUIS MO 63107

Officer/Director/Trustee Four

JAMES SAMPLE
DIRECTOR
700 HOWDERSHELL
FLORISSANT MO 63031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2006
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 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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