FORM 1023-EZ for M I MINISTRIES

Field Data
EIN 81-4783305
Case Number EO-2017037-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name M I MINISTRIES
Organization’s Mailing Address 250 TWILLA TRAIL
City AZLE
State TX
ZIP 76020-1318
Accounting period End 12
Primary contact name SUSAN R JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA HOUSEMAN
PRESIDENT
250 TWILLA TRAIL
AZLE TX 76020-1318

Officer/Director/Trustee Two

SANDRA KENNEDY
DIRECTOR
304 LAKE COURSE DRIVE
AUGUSTA GA 30904

Officer/Director/Trustee Three

DAVID KEESLING
DIRECTOR
1322 LONGS POINT
WOODLAND PARK CO 80863

Officer/Director/Trustee Four

VICTOR RICHMOND
DIRECTOR
250 TWILLA TRAIL
AZLE TX 76020-1318

Officer/Director/Trustee Five

SUSAN JOHNSON
DIRECTOR
250 TWILLA TRAIL
AZLE TX 76020-1318

Organization’s website WWW.MIRRORIMAGEMINISTRIES.ORG
Organization’s email CONTACT@MIRRORIMAGEMINISTRIES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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
Signature Title
Signature Date

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