FORM 1023-EZ for MISSIONARY SERVICE AND SUPPLY INTERNATIONAL INC

Field Data
EIN 65-0846006
Case Number EO-2017230-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSIONARY SERVICE AND SUPPLY INTERNATIONAL INC
Organization’s Mailing Address 5387 SE 51ST STREET
City STUART
State FL
ZIP 34997-1634
Accounting period End 12
Primary contact name NORMAN KUGLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMAN KUGLIN
PRESIDENT/TREASURER
5387 SE 51ST STREET
STUART FL 34997-1634

Officer/Director/Trustee Two

RAYLYN KUGLIN
VICE PRESIDENT/TREASURER
5387 SE 51ST STREET
STUART FL 34997-1634

Officer/Director/Trustee Three

AARON KUGLIN
DIRECTOR
5387 SE 51ST STREET
STUART FL 34997-1634

Officer/Director/Trustee Four

DAVID MAGNA
DIRECTOR
2959 CHERRY CREEK ROAD
SPARTA TN 38583

Officer/Director/Trustee Five

ROGER VANOOSTEN
DIRECTOR
3046 BRIGHTON COMMONS
MOUND MN 55364

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/1998
Organization Incorporation State FL
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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