FORM 1023-EZ for THE DOMINIQUE EXPERIENCE INC

Field Data
EIN 84-2179713
Case Number EO-2019184-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DOMINIQUE EXPERIENCE INC
Organization’s Mailing Address 1804 N 91ST STREET
City KANSAS CITY
State KS
ZIP 66112-3630
Accounting period End 12
Primary contact name DEBBIE L JENNINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE JENNINGS
PRESIDENT
1804 N 91ST STREET
KANSAS CITY KS 66112-3630

Officer/Director/Trustee Two

JULIE RANDOLPH
SECRETARY
1804 N 91ST STREET
KANSAS CITY KS 66112-3630

Officer/Director/Trustee Three

TONYA FOSTER
TREASURER
1804 N 91ST STREET
KANSAS CITY KS 66112-3630

Officer/Director/Trustee Four

TYRONE JENNINGS
VICE PRESIDENT
1804 N 91ST STREET
KANSAS CITY KS 66112-3630

Officer/Director/Trustee Five

GYNON BROWN
ASSISTANT TREASURER
1804 N 91ST STREET
KANSAS CITY KS 66112-3630

Organization’s website
Organization’s email INEEDGOD4EVER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 DEBBIE JENNINGS
Signature Title PRESIDENT
Signature Date 7/1/19

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