FORM 1023-EZ for LIC KINGDOM MINISTRY CENTER INCORPORATED

Field Data
EIN 46-0845357
Case Number EO-2016081-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIC KINGDOM MINISTRY CENTER INCORPORATED
Organization’s Mailing Address PO BOX 493
City HOPKINSVILLE
State KY
ZIP 42241
Accounting period End 12
Primary contact name JIMMY GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIMMY GARRETT
OFFICER
530 OLD MAJOR LANE
HOPKINSVILLE KY 42240

Officer/Director/Trustee Two

CLARK WHEELER
OFFICER
625 HURL WAY
HOPKINSVILLE KY 42240

Officer/Director/Trustee Three

STEVE PECK
OFFICER
1263 OVERLANE
LINCOLN CA 95648

Officer/Director/Trustee Four

EDDIE YOAKUM
DIRECTOR
230 OXFORD STREET
HOPKINSVILLE KY 42240

Officer/Director/Trustee Five

SANDY PECK
DIRECTOR
126 KEETON
HOPKINSVILLE KY 42240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2012
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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