FORM 1023-EZ for IVE BEEN THERE MINISTRIES

Field Data
EIN 47-5541540
Case Number EO-2016102-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IVE BEEN THERE MINISTRIES
Organization’s Mailing Address 4325 SHORELINE DRIVE
City PLEASANT HILL
State IA
ZIP 50327
Accounting period End 12
Primary contact name DAVID BURRIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID BURRIER
PRESIDENT
4325 SHORELINE DRIVE
PLEASANT HILL IA 50327

Officer/Director/Trustee Two

JOHNNE SYVERSON
TREASURER
1116 6TH STREET
WEST DES MOINES IA 50265

Officer/Director/Trustee Three

JONI PINE
SECRETARY
521 SW SOUTHLAWN
ANKENY IA 50023

Officer/Director/Trustee Four

KERRY PETERSEN
DIRECTOR
545 34TH STREET
WEST DES MOINES IA 50265

Officer/Director/Trustee Five

GARY PILCHER
DIRECTOR
305 9TH STREET NW
ALTOONA IA 50009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2015
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
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 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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