FORM 1023-EZ for KINGDOM WOMAN MINISTRY INC

Field Data
EIN 85-3505511
Case Number EO-2021217-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGDOM WOMAN MINISTRY INC
Organization’s Mailing Address 1620 S 12TH ST
City MT VERNON
State IL
ZIP 62864
Accounting period End 12
Primary contact name PATRICIA JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA JAMES
CHIEF EXECUTIVE OFFICER
1620 S 12TH ST
MT VERNON IL 62864

Officer/Director/Trustee Two

TATANISHA HENDERSON
OFFICER
2225 S 80TH EAST AVENUE
TULSA OK 74129

Officer/Director/Trustee Three

ANGELA NESBIT
OFFICER
1510 S 10TH ST
MT VERNON IL 62864

Officer/Director/Trustee Four

CAROLYN BLACK
OFFICER
910 S 12TH ST
MT VERNON IL 62864

Officer/Director/Trustee Five

GLINDA JACKSON
OFFICER
1009 S 12TH ST
MT VERNON IL 62864

Organization’s website NOT APPLICABLE
Organization’s email PAT.JAMES@KINGDOMWOMANMINISTRY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
Organization’s purpose Charitable: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICIA JAMES
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 8/3/2021

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