FORM 1023-EZ for INTERNATIONAL THEOLOGICAL MISSION

Field Data
EIN 83-2582072
Case Number EO-2018348-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL THEOLOGICAL MISSION
Organization’s Mailing Address 5145 HICKORY HOLLOW
City OWOSSO
State MI
ZIP 48867
Accounting period End 12
Primary contact name JIM ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM ROSE
PRESIDENT
649 BUSHA RD
OWOSSO MI 48867

Officer/Director/Trustee Two

BOB ADCOCK
TREASURER
4650 WAUGH RD
OWOSSO MI 48867

Officer/Director/Trustee Three

GAYLE THOMAS
SECRETARY
6136 MORRICE RD
OWOSSO MI 48867

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JIM ROSE
Signature Title PRESIDENT
Signature Date 12/12/18

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