FORM 1023-EZ for BRADLY KELLER MINISTRIES

Field Data
EIN 84-3852773
Case Number EO-2019339-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRADLY KELLER MINISTRIES
Organization’s Mailing Address 4907 N 9TH STREET
City OZARK
State MO
ZIP 65721
Accounting period End 12
Primary contact name BRADLY KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLY KELLER
PRESIDENT/CEO
4907 N 9TH STREET
OZARK MO 65721

Officer/Director/Trustee Two

GRAY NORDAN
BOARD MEMBER/CFO
1586 E 430 ROAD
BOLIVAR MO 65613

Officer/Director/Trustee Three

RYAN GOEDEN
BOARD MEMBER
776 W FARM ROAD 186
SPRINGFIELD MO 65810

Officer/Director/Trustee Four

TJ WOODARD
BOARD MEMBER
2518 BARRON ROAD
POPLAR BLUFF MO 63901

Officer/Director/Trustee Five

KEVIN BROWN
BOARD MEMBER
12400 GRANDVIEW ROAD
GRANDVIEW MO 64030

Organization’s website WWW.YOUTHALIVEMO.ORG
Organization’s email YOUTHALIVEMO@MAC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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 Yes
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 BRADLY KELLER
Signature Title PRESIDENT/CEO
Signature Date 12/3/2019

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