FORM 1023-EZ for DIAKONIA MINISTRIES

Field Data
EIN 47-4848371
Case Number EO-2019074-000576
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIAKONIA MINISTRIES
Organization’s Mailing Address PO BOX 164684
City FORT WORTH
State TX
ZIP 76161
Accounting period End 12
Primary contact name KIMBERLY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY BROWN
CHAIRMAN OF BOARD/PRESIDENT
6501 SHADY OAKS MANOR DR APT 709
FORT WORTH TX 76135

Officer/Director/Trustee Two

OLIVIA BROWN
VICE CHAIR/VICE PRESIDENT
4487 CHARLESTON
MASON TN 38049

Officer/Director/Trustee Three

DORETHA COVINGTON
SECRETARY
1996 BOYLE AVENUE
MEMPHIS TN 38114

Officer/Director/Trustee Four

WANDA WINSTON
TREASURER
2929 OLD FRANKLIN RD APT 206
ANTIOCH TN 37013

Officer/Director/Trustee Five

MONICA ROSSER
BOARD MEMBER
1110 N NORMANDY APT 1
TEMPLE TERRACE FL 33617

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 KIMBERLY BROWN
Signature Title CHAIRMAN OF BOARD/PRESIDENT
Signature Date 3/12/19

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