FORM 1023-EZ for GRATEFUL SHEPHERD MINISTRIES

Field Data
EIN 83-4242180
Case Number EO-2019116-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRATEFUL SHEPHERD MINISTRIES
Organization’s Mailing Address 459 CONDADO WAY
City ESCONDIDO
State CA
ZIP 92025
Accounting period End 12
Primary contact name DENNIS KEATING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS KEATING
PRESIDENT
459 CONDADO WAY
ESCONDIDO CA 92025

Officer/Director/Trustee Two

KIM GAVIN
DIRECTOR
28262 SPARKLING OAKS TRAIL
ESCONDIDO CA 92026

Officer/Director/Trustee Three

CARSON KIESEL
DIRECTOR
12972 POLVERA AVE
SAN DIEGO CA 92128

Officer/Director/Trustee Four

MIKE PETERS
DIRECTOR
1929 ZALTIBOR RANCH RD
ESCONDIDO CA 92025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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 DENNIS KEATING
Signature Title PRESIDENT
Signature Date 4/24/19

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