FORM 1023-EZ for FULLY ALIVE MINISTRIES INC

Field Data
EIN 86-1896343
Case Number EO-2021085-001202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FULLY ALIVE MINISTRIES INC
Organization’s Mailing Address 10101 N NANCY RD
City OKLAHOMA CITY
State OK
ZIP 73131-5269
Accounting period End 1
Primary contact name CADEN BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CADEN BENNETT
CEO & BOARD DIRECTOR
10101 N NANCY RD
OKLAHOMA CITY OK 73131-5258

Officer/Director/Trustee Two

SETH CONRAD
CEO & BOARD DIRECTOR
4770 JEAN MARIE LN
FORT CALHOUN NE 68023-5042

Officer/Director/Trustee Three

MADELEINE SRI
VICE PRESIDENT & BOARD DIRECTOR
826 MERCURY CIR
LONE TREE CO 80124-2617

Organization’s website FULLYALIVEMINISTRY.NET
Organization’s email CONTACT@FULLYALIVEMINISTRY.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
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 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 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 CADEN BENNETT
Signature Title CEO & BOARD DIRECTOR
Signature Date 2/6/2021

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