FORM 1023-EZ for BROKEN VESSELS QUAKER MINISTRIES INC

Field Data
EIN 81-3590686
Case Number EO-2016256-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROKEN VESSELS QUAKER MINISTRIES INC
Organization’s Mailing Address 1080 45TH STREET
City DES MOINES
State IA
ZIP 50311-3428
Accounting period End 6
Primary contact name KATHRYN JACOBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN JACOBY
PRESIDENT
1080 45TH STREET
DES MOINES IA 50311-3428

Officer/Director/Trustee Two

WILLIAM DEUTSCH
VICE PRESIDENT
1478 FRIENDS END RD
DECORAH IA 52101

Officer/Director/Trustee Three

CHERYL SUTTON
TREASURER
3603 SW 14TH STREET
DES MOINES IA 50315

Organization’s website BVQMINISTRIES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 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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