FORM 1023-EZ for MINEMBWE MISSION SOCIETY

Field Data
EIN 81-0947653
Case Number EO-2016152-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINEMBWE MISSION SOCIETY
Organization’s Mailing Address 136 FAIRLAWN CT
City MARENGO
State IA
ZIP 52301-8589
Accounting period End 12
Primary contact name THOMAS SANDERSFELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS SANDERSFELD
SECRETARY
136 FAIRLAWN CT
MARENGO IA 52301-8589

Officer/Director/Trustee Two

GAKUNZI NTWARI
PRESIDENT
6811 GABLES WAY
JOHNSTON IA 50131-3026

Officer/Director/Trustee Three

JOHN KLINE
ADVISOR
4300 BEAVER AVE
DES MOINES IA 50310-3773

Officer/Director/Trustee Four

RICHARD NEWKIRK
MEMBER
2356 NW 71ST PLACE
ANKENY IA 50023-9696

Officer/Director/Trustee Five

SHERILYN RITTGERS
MEMBER
2285 NW 70TH AVE
ANKENY IA 50023

Organization’s website WWW.MERCY-ORPHANGE.COM
Organization’s email TOMBSAND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State IA
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 No
One Third Support Gifts Yes
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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