FORM 1023-EZ for KINGSMEN MINISTRIES INC

Field Data
EIN 81-3833302
Case Number EO-2016259-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINGSMEN MINISTRIES INC
Organization’s Mailing Address 1063 EMMA LN
City NIPOMO
State CA
ZIP 93444
Accounting period End 12
Primary contact name DAVID KINGSLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID KINGSLY
PRESIDENT
1063 EMMA LN
NIPOMO CA 93444

Officer/Director/Trustee Two

DAVE BRACKMANN
SECRETARY
11907 E 56TH ST
KANSAS CITY MO 64133

Officer/Director/Trustee Three

JEFF GOUGH
TREASURER
4688 BLACKSTONE CT
SANTA MARIA CA 93455

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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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