FORM 1023-EZ for INTERNATIONAL COVERED MINISTRIES

Field Data
EIN 47-1350456
Case Number EO-2015002-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL COVERED MINISTRIES
Organization’s Mailing Address 800 COUNTY ROAD 4120
City MERIDIAN
State TX
ZIP 76665-2856
Accounting period End 12
Primary contact name MATT WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES M WALLACE
PRESIDENT
800 CR 4120
MERIDIAN TX 76665-2856

Officer/Director/Trustee Two

LOREN E BRADLEY
VICE PRESIDENT
802 CR 4120
MERIDIAN TX 76665-2856

Officer/Director/Trustee Three

MIRIAM J WALLACE
SECRETARY/TREASURER
800 CR 4120
MERIDIAN TX 76665-2856

Officer/Director/Trustee Four

TOM OGBURN
BOARD MEMBER
722 SETTLERS POND WAY
KNOXVILLE TN 37923

Officer/Director/Trustee Five

KAREN HATLEY
BOARD MEMBER
1205 N BISHOP AVE
DALLAS TX 75208-4118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 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
Signature Title
Signature Date

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