FORM 1023-EZ for DISCIPLES FOR CHRIST

Field Data
EIN 81-2822984
Case Number EO-2016159-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISCIPLES FOR CHRIST
Organization’s Mailing Address 252 DEL RIO PASEO
City SONOMA
State CA
ZIP 95476
Accounting period End 12
Primary contact name WARREN JAYCOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WARREN JAYCOX
PRESIDENT
252 DEL RIO PASEO
SONOMA CA 95476

Officer/Director/Trustee Two

NANCY OUELLETTE
TREASURER
9 MERIDIAN CIRCLE
ROHNERT PARK CA 94928

Officer/Director/Trustee Three

KYMRY BORKENHAGEN
SECRETARY
18429 SECOND AVE
SONOMA CA 95476

Officer/Director/Trustee Four

CLAIRE JONES
DIRECTOR
998 CHERRY AVE
SONOMA CA 95476

Officer/Director/Trustee Five

ROBERT JONES
DIRECTOR
998 CHERRY AVE
SONOMA CA 95476

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
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
Signature Title
Signature Date

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