FORM 1023-EZ for SHADE TREE MINISTRIES INC

Field Data
EIN 84-2624161
Case Number EO-2019238-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHADE TREE MINISTRIES INC
Organization’s Mailing Address 272 VISALIA ROAD
City ALEXANDRIA
State KY
ZIP 41001
Accounting period End 12
Primary contact name HAROLD DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD DAVIS JR
PRESIDENT
272 VISALIA RD
ALEXANDRIA KY 41001

Officer/Director/Trustee Two

KRISTINA DAVIS
SECRETARY TREASURER
272 VISALIA ROAD
ALEXANDRIA KY 41001

Officer/Director/Trustee Three

HAROLD DAVIS SR
DIRECTOR
272 VISALIA RD
ALEXANDRIA KY 41001

Officer/Director/Trustee Four

ELIJAH BOWLING
DIRECTOR
272 VISALIA RD
ALEXANDRIA KY 41001

Officer/Director/Trustee Five

KEITH MILLER
DIRECTOR
272 VISALIA RD
ALEXANDRIA KY 41001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
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: Yes
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 Yes
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 HAROLD DAVIS JR
Signature Title PRESIDENT
Signature Date 8/22/19

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