FORM 1023-EZ for THE CITY OF MERCY MIRACLE PRAYER MINISTRY

Field Data
EIN 83-3874053
Case Number EO-2020265-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CITY OF MERCY MIRACLE PRAYER MINISTRY
Organization’s Mailing Address 6807 FOREST CT
City WINDSOR HEIGHT
State IA
ZIP 50324
Accounting period End 12
Primary contact name VIVIAN N JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVIAN N JOHNSON
EXECUTIVE DIRECTOR
6807 FOREST CT
WINDSOR IA 50324

Officer/Director/Trustee Two

MOSES T JARGBAHSON
PROGRAM COORDINATOR
6807 FOREST CT
WINDSOR HEIGHT IA 50324

Officer/Director/Trustee Three

GAYDOU HORACE
SECRETARY
6081 CRESTON AVE APT 8
DES MOINES IA 50321

Officer/Director/Trustee Four

SAYACHEL SEYON
TREASURER
1108 17TH ST
DES MOINES IA 50314

Organization’s website
Organization’s email VJOHNSON197560@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 SAYACHEL SEYON
Signature Title TREASURER
Signature Date 9/17/2020

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