FORM 1023-EZ for KINGDOM IMPACT MINISTRY INC

Field Data
EIN 85-1326450
Case Number EO-2021088-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGDOM IMPACT MINISTRY INC
Organization’s Mailing Address 2900 N COUNCIL RD
City BETHANY
State OK
ZIP 73008
Accounting period End 12
Primary contact name NORMA WOODARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MCAFEE
DIRECTOR/TREASURER
2900 N COUNCIL RD
BETHANY OK 73008

Officer/Director/Trustee Two

TYLER FERGUSON
DIRECTOR
11916 MAPLE HOLLOW COURT
OKLAHOMA CITY OK 73120

Officer/Director/Trustee Three

CASEY YATES
DIRECTOR/SECRETARY
6616 NW 111TH
OKLAHOMA CITY OK 73162

Officer/Director/Trustee Four

LAUREN MCAFEE
PRESIDENT
2900 N COUNCIL RD
BETHANY OK 73008

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2020
Organization Incorporation State OK
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 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 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 MICHAEL MCAFEE
Signature Title DIRECTOR/TREASURER
Signature Date 2/12/2021

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