FORM 1023-EZ for ROAD CAPTAIN MINISTRIES

Field Data
EIN 86-2663533
Case Number EO-2021110-000145
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROAD CAPTAIN MINISTRIES
Organization’s Mailing Address 14413 11TH AVE COURT EAST
City TACOMA
State WA
ZIP 98445
Accounting period End 2
Primary contact name ESSIE CAMPBELL-DEDEAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ESSIE CAMPBELL-DEDEAUX
EXECUTIVE DIRECTOR
14413 11TH AVE COURT EAST
TACOMA WA 98445

Officer/Director/Trustee Two

MENZELLE JACOBS
DIRECTOR - PRESIDENT
8116 35TH ST W
UNIVERSITY PLACE WA 98466

Officer/Director/Trustee Three

SHANECE DEDEAUX
DIRECTOR - FINANCIAL VICE-PRESIDENT
2415 SW 23RD ST
FEDERAL WAY WA 98023

Officer/Director/Trustee Four

KEANDRE MAGEE
DIRECTOR - OPERATIONS
2415 SW 23RD ST
FEDERAL WAY WA 98023

Officer/Director/Trustee Five

ASHLEY HALEY
DIRECTOR - MARKETING RELATIONS
32444 1ST PL
FEDERAL WAY WA 98003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2021
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention N.E.C.
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 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 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 ESSIE CAMPBELL-DEDEAUX
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/16/2021

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