FORM 1023-EZ for K-TV USA

Field Data
EIN 84-4238471
Case Number EO-2020027-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name K-TV USA
Organization’s Mailing Address 800 PARKER SQUARE SUITE 215E
City FLOWER MOUND
State TX
ZIP 75028
Accounting period End 12
Primary contact name STEPHEN STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN STEPHENS
DIRECTOR
800 PARKER SQUARE SUITE 215E
FLOWER MOUND TX 75028

Officer/Director/Trustee Two

JOHANNES HATTLER
DIRECTOR
FRIEDRICHSHAFENER STRASSE 151
LANGENARGEN AA 88085

Officer/Director/Trustee Three

JON HAINES
DIRECTOR
1933 N FAIRFIELD AVE
CHICAGO IL 60647

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X82 - Religious Television
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JON HAINES
Signature Title DIRECTOR
Signature Date 1/24/2020

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