FORM 1023-EZ for KINGDOM LIFE MINISTRIES INTERNATIONAL INC

Field Data
EIN 47-4611663
Case Number EO-2015243-000372
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINGDOM LIFE MINISTRIES INTERNATIONAL INC
Organization’s Mailing Address 2712 BULLOCK MILL RD
City COLBERT
State GA
ZIP 30628
Accounting period End 12
Primary contact name ANGELA PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANGELA PATTERSON
PRESIDENT, DIRECTOR
2712 BULLOCK MILL RD
COLBERT GA 30628

Officer/Director/Trustee Two

TIM DURHAM
VICE PRESIDENT, DIRECTOR
2712 BULLOCK MILL RD
COLBERT GA 30628

Officer/Director/Trustee Three

LANA THOMPSON
SECRETARY, DIRECTOR
2712 BULLOCK MILL RD
COLBERT GA 30628

Officer/Director/Trustee Four

EMILY DURHAM
TREASURER, DIRECTOR
2712 BULLOCK MILL RD
COLBERT GA 30628

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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