FORM 1023-EZ for CROWN MISSIONS INC

Field Data
EIN 84-1829907
Case Number EO-2019186-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROWN MISSIONS INC
Organization’s Mailing Address 1015 LINN ROAD
City EUBANK
State KY
ZIP 42567
Accounting period End 12
Primary contact name JUANITA HOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUANITA HOUSE
DIRECTOR
1015 LINN RD
EUBANK KY 42567

Officer/Director/Trustee Two

JAMMIE HOUSE
DIRECTOR
1015 LINN RD
EUBANK KY 42567

Officer/Director/Trustee Three

MISTY CUNDIFF
DIRECTOR
180 GARNER RD
SOMERSET KY 42503

Officer/Director/Trustee Four

BRIN MERRICK
DIRECTOR
720 WOODS EDGE DR
SOMERSET KY 42503

Officer/Director/Trustee Five

JENNIFER MERRICK
DIRECTOR
720 WOODS EDGE DR
SOMERSET KY 42503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 JUANITA HOUSE
Signature Title DIRECTOR
Signature Date 7/2/19

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