FORM 1023-EZ for KOINONIA CHILDRENS MINISTRIES INC

Field Data
EIN 20-3161395
Case Number EO-2015238-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KOINONIA CHILDRENS MINISTRIES INC
Organization’s Mailing Address 4235 ISBELL STREET
City SILVER SPRING
State MD
ZIP 20906
Accounting period End 12
Primary contact name JOSE HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSE HERNANDEZ
DIRECTOR
4235 ISBELL STREET
SILVER SPRING MD 20906

Officer/Director/Trustee Two

NORBERTO POLANCO
VICE-DIRECTOR
PO BOX 86804 MONTGOMERY VILLAGE
GAITHERSBURG MD 20886

Officer/Director/Trustee Three

LINDSAY GONZALEZ
TREASURE
4235 ISBELL STREET
SILVER SPRING MD 20906

Officer/Director/Trustee Four

JOSUE DURAN
SECRETARY
21532 QUICK FOX LANE
GAITHERSBURG MD 20883

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2005
Organization Incorporation State MD
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 Yes
Donation of funds Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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