FORM 1023-EZ for VICTOR SURVIVOR CONQUEROR MINISTRY

Field Data
EIN 81-1443619
Case Number EO-2016057-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VICTOR SURVIVOR CONQUEROR MINISTRY
Organization’s Mailing Address 3613 LOCUST AVE
City ODESSA
State TX
ZIP 79762-7750
Accounting period End 12
Primary contact name JACQUELINE BERNHARDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM BAKER
PRESIDENT
3613 LOCUST
ODESSA TX 79762-7750

Officer/Director/Trustee Two

WHITNEY RIDLEY
VPRESIDENT
7911 IVORY AVE
ODESSA TX 79761

Officer/Director/Trustee Three

AMY RAND
SEC/TREAS
1425 CUSTER
ODESSA TX 79761

Officer/Director/Trustee Four

JACQUELINE BERNHARDT
ORGANIZING SECRETARY
3702 SHELL AVE
MIDLAND TX 79767

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 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
Signature Title
Signature Date

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