FORM 1023-EZ for WILD GOOSE MINISTRY INCORPORATED

Field Data
EIN 84-3784006
Case Number EO-2019333-000258
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILD GOOSE MINISTRY INCORPORATED
Organization’s Mailing Address 1409 RAMONA DR
City ENID
State OK
ZIP 73703-7020
Accounting period End 12
Primary contact name CHRIS PERCIVAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS PERCIVAL
PRESIDENT
1409 RAMONA DR
ENID OK 73703-7020

Officer/Director/Trustee Two

JAY MILLER
VICE PRESIDENT
112 E DOGWOOD
POND CREEK OK 73766-9788

Officer/Director/Trustee Three

JENNIFER SULLIVAN
TREASURER
1818 INDIAN DR
ENID OK 73703-7020

Organization’s website WILDGOOSEMINISTRY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/19
Organization Incorporation State OK
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 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 CHRIS PERCIVAL
Signature Title PRESIDENT
Signature Date 11/27/19

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