FORM 1023-EZ for KINGDOM LIFE CHANGING OUTREACH

Field Data
EIN 82-3158571
Case Number EO-2018100-000005
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGDOM LIFE CHANGING OUTREACH
Organization’s Mailing Address 1108 EL CAMINO REAL APT 231
City EULESS
State TX
ZIP 76040
Accounting period End 12
Primary contact name JAMES ADETOSOYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES ADETOSOYE
CEO/EXEC DIRECTOR
1108 EL CAMINO REAL UNIT 231
EULESS TX 76040

Officer/Director/Trustee Two

AUILLA MUSYIMI
COFOUNDER -DIRECTOR SECT
2305 VILLAGE CREEK APT 211
BEDFORD TX 76022

Officer/Director/Trustee Three

MARY MUSOMBA
BOARD MEMBER
306 MARSHALL CREEK
ROANOKE TX 76262

Officer/Director/Trustee Four

BRIAN COLEMAN
BOARD MEMBER
920 EDMONDSON DRIVE
IRVING TX 75060

Officer/Director/Trustee Five

ELLEN TSHIBANGU
BOARD MEMBER
1307 PARK PLACE BLVD UNIT 908
HURST TX 76053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 JAMES ADETOSOYE
Signature Title CEO/EXEC DIRECTOR
Signature Date 4/5/18

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