FORM 1023-EZ for COMUNIDAD SIERVOS DE CRISTO VIVO DODGE CITY KANSAS INC

Field Data
EIN 83-0530638
Case Number EO-2019029-000502
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMUNIDAD SIERVOS DE CRISTO VIVO DODGE CITY KANSAS INC
Organization’s Mailing Address 804 MILITARY AVE
City DODGE CITY
State KS
ZIP 67801
Accounting period End 12
Primary contact name JOHANNA PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CECILIA GARCIA
PRES/DIRECTOR
804 MILITARY AVE
DODGE CITY KS 67801

Officer/Director/Trustee Two

CARMEN MEJIA
VICE PRES/DIRECTOR
1004 28TH AVE
DODGE CITY KS 67801

Officer/Director/Trustee Three

JOHANNA PEREZ
SEC./DIRECTOR
2202 AVE A
DODGE CITY KS 67801

Officer/Director/Trustee Four

DIANA RAMIREZ
TREASURER/DIRECTOR
1112 11TH AVE
DODGE CITY KS 67801

Officer/Director/Trustee Five

EZEQUIEL HERNANDEZ
DIRECTOR
908 ROTH AVE NO 5
DODGE CITY KS 67801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/18
Organization Incorporation State KS
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 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 CECILIA GARCIA
Signature Title PRES/DIRECTOR
Signature Date 12/18/18

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