FORM 1023-EZ for DAVID PENDERGRASS MINISTRIES INC

Field Data
EIN 83-2362704
Case Number EO-2018320-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVID PENDERGRASS MINISTRIES INC
Organization’s Mailing Address 5827 SIMPLE LANE
City LAWRENCE
State KS
ZIP 66049-4795
Accounting period End 12
Primary contact name DAVID PENDERGRASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID PENDERGRASS
DIRECTOR/PRESIDENT
5827 SIMPLE LANE
LAWRENCE KS 66049-4795

Officer/Director/Trustee Two

ELAINE PENDERGRASS
VICE PRESIDENT
5827 SIMPLE LANE
LAWRENCE KS 66049-4795

Officer/Director/Trustee Three

SUSAN CHANEY
DIRECTOR
218 QUINLAN STREET - NO 503
KERRVILLE TX 78028

Organization’s website WWW.DAVIDPENDERGRASS.COM
Organization’s email DAVIDPENDY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
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 DAVID PENDERGRASS
Signature Title DIRECTOR/PRESIDENT
Signature Date 11/14/18

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