FORM 1023-EZ for NICOPOLIS MINISTRIES USA INC

Field Data
EIN 98-1474440
Case Number EO-2019074-000726
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICOPOLIS MINISTRIES USA INC
Organization’s Mailing Address 30 N GOULD STREET SUITE 4000
City SHERIDAN
State WY
ZIP 82801
Accounting period End 12
Primary contact name ROBERT JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT JAMES
PRESIDENT
30 N GOULD STREET SUITE 4000
SHERIDAN WY 82801

Officer/Director/Trustee Two

DINA-MARI VENTER
SECRETARY
30 N GOULD STREET SUITE 4000
SHERIDAN WY 82801

Officer/Director/Trustee Three

KULUMBA DADISO JAMES
TREASURER
30 N GOULD STREET SUITE 4000
SHERIDAN WY 82801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/19
Organization Incorporation State WY
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 ROBERT JAMES
Signature Title PRESIDENT
Signature Date 3/13/19

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