FORM 1023-EZ for COVENANT GATHERING

Field Data
EIN 85-4050392
Case Number EO-2021079-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVENANT GATHERING
Organization’s Mailing Address 406 SILVERCREST TERRACE
City BEAVERCREEK
State OH
ZIP 45440
Accounting period End 12
Primary contact name DAVID FLEMING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID FLEMING
STATUTORY AGENT
406 SILVERCREST TERRACE
BEAVERCREEK OH 45440-3228

Officer/Director/Trustee Two

CARLA MAVIS
PRESIDENT
1254 DUNHURST STREET
CIRCLEVILLE OH 43113-1384

Officer/Director/Trustee Three

KAREN KELLEY
SECRETARY
609 HARWOOD STREET
JACKSON MI 49203-3015

Officer/Director/Trustee Four

THOMAS GREGORY
TREASURER
411 OVERLOOK ROAD
MANSFIELD OH 44907-1533

Organization’s website COVENANTGATHERING.COM
Organization’s email DFLEMINGGG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID FLEMING
Signature Title STATUTORY AGENT
Signature Date 1/25/2021

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