FORM 1023-EZ for THE VINE CHURCH LAS VEGAS INC

Field Data
EIN 46-5024561
Case Number EO-2017263-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE VINE CHURCH LAS VEGAS INC
Organization’s Mailing Address 3110 QUAIL CREST AVE
City HENDERSON
State NV
ZIP 89052
Accounting period End 12
Primary contact name SHON-MARK HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHON MARK HENRY
PRESIDENT
3110 QUAIL CREST AVE
HENDERSON NV 89052

Officer/Director/Trustee Two

JENNIFER HENRY
SECRETARY
3110 QUAIL CREST AVE
HENDERSON NV 89052

Officer/Director/Trustee Three

NADEZHDA POLJAKOV
TREASURER SECRETARY
3662 CASELLINA CT
LAS VEGAS NV 89141

Officer/Director/Trustee Four

JOHN HOWARD GRAY
DIRECTOR
11007 MEZZANA ST
LAS VEGAS NV 89141

Officer/Director/Trustee Five

THOMAS WOOTRESS REIDT
DIRECTOR
6530 ANNIE OAKLEY DR
HENDERSON NV 89014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-5024561
Case Number EO-2015054-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE VINE CHURCH LV
Organization’s Mailing Address 2153 HANDEL ACE
City HENDERSON
State NV
ZIP 89052
Accounting period End 12
Primary contact name SHON MARK HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHON MARK HENRY
PRESIDENT
2153 HANDEL AVE
HENDERSON NV 89052

Officer/Director/Trustee Two

JENNIFER HENRY
SECRETARY
2153 HANDEL AVE
HENDERSON NV 89052

Officer/Director/Trustee Three

MIRACLE ANYANWU
TREASURER
3200 MCLEOD DR 242
LAS VEGAS NV 89121

Officer/Director/Trustee Four

MARZETTE HANOIAN
DIRECTOR
11857 MAGLIANA ST
LAS VEGAS NV 89183

Officer/Director/Trustee Five

THOMAS REIDT
DIRECTOR
3185 DANCING HILLS AVE
HENDERSON NV 89052

Organization’s website WWW.THEVINECHURCHLV.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2014
Organization Incorporation State NV
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 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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