FORM 1023-EZ for DIVINE HEALING MIRACLE AND DELIVERANCE MINISTRY

Field Data
EIN 81-4255794
Case Number EO-2017023-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIVINE HEALING MIRACLE AND DELIVERANCE MINISTRY
Organization’s Mailing Address 6554 S RHODES AVENUE
City CHICAGO
State IL
ZIP 60637
Accounting period End 12
Primary contact name DOREEN STREETER MOMANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BUNNY JOHNSON
PRESIDENT
1826 WOODWARD AVENUE
KALAMAZOO MI 49007

Officer/Director/Trustee Two

ROSEMARY SHUMAKER
SECRETARY
10559 S LAFAYETTE AVENUE
CHICAGO IL 60628

Officer/Director/Trustee Three

ELIZABETH JOHNSON
TREASURER
6554 S RHODES AVE
CHICAGO IL 60637

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2016
Organization Incorporation State IL
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: Yes
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
Signature Title
Signature Date

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