FORM 1023-EZ for KEITH JACKSON MINISTRIES INC

Field Data
EIN 81-4444307
Case Number EO-2017039-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEITH JACKSON MINISTRIES INC
Organization’s Mailing Address 1201 NW BRIARCLIFF PARKWAY STE 200
City KANSAS CITY
State MO
ZIP 64116
Accounting period End 12
Primary contact name BRENDA A JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD JACKSON
PRESIDENT
7821 NW ROANRIDGE RD APT G
KANSAS CITY MO 64151

Officer/Director/Trustee Two

BRENDA JACKSON
SECRETARY
7821 NW ROANRIDGE RD APT G
KANSAS CITY MO 64151

Officer/Director/Trustee Three

RAYMOND MABION II
VICE PRESIDENT
1401NE 92ND STREET
KANSAS CITY MO 64155

Officer/Director/Trustee Four

MICHAEL COLLINS
TREASURER
9807 ENSLEY
LEAWOOD KS 66206

Organization’s website DOULOSKJ.WIXSITE.COM/KEITHJACKSONMIN
Organization’s email DOULOSKJ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
Organization Incorporation State MO
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: 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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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