FORM 1023-EZ for KINGDOM LIFELINE MINISTRIES

Field Data
EIN 90-0864972
Case Number EO-2021098-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGDOM LIFELINE MINISTRIES
Organization’s Mailing Address 509 BELOIT AVE UNIT 1
City FOREST PARK
State IL
ZIP 60130
Accounting period End 12
Primary contact name KURT WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT WILLIAMS
PRESIDENT
509 BELOIT AVE UNIT 1
FOREST PARK IL 60130

Officer/Director/Trustee Two

ELENA WILLIAMS
DIRECTOR
509 BELOIT AVE UNIT 1
FOREST PARK IL 60130

Officer/Director/Trustee Three

CLIFF LARA
DIRECTOR
4039 EAST 42ND STREET
NEWBURGH HEIGHTS OH 44105

Organization’s website KINGDOMLIFELINE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2012
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
Organization’s purpose Charitable: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KURT WILLIAMS
Signature Title PRESIDENT
Signature Date 3/17/2021

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