FORM 1023-EZ for KIAMICHI VALLEY MINISTERIAL ALLIANCE INC

Field Data
EIN 74-3242626
Case Number EO-2014297-000586
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIAMICHI VALLEY MINISTERIAL ALLIANCE INC
Organization’s Mailing Address PO BOX 163
City TALIHINA
State OK
ZIP 74571
Accounting period End 12
Primary contact name BRIAN ROBERTS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CECIL HOLCOMB
PRESIDENT
52300 RIDGE RD
TALIHINA OK 74571

Officer/Director/Trustee Two

JOSEPH MULLINS
VICE-PRES
1009 FIRST ST
TALIHINA OK 74571

Officer/Director/Trustee Three

MARK COOK
TREASURER
PO BOX 578
TALIHINA OK 74571

Officer/Director/Trustee Four

BRENT SMITH
SECRETARY
RT 1 BOX 1132
TALIHINA OK 74571

Officer/Director/Trustee Five

SHAWN WALKER
TRUSTEE
PO BOX 337
TALIHINA OK 74571

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2007
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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