FORM 1023-EZ for MOSAIC CHRISTIAN MINISTRIES OF COLUMBUS INDIANA INC

Field Data
EIN 85-0764172
Case Number EO-2020310-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSAIC CHRISTIAN MINISTRIES OF COLUMBUS INDIANA INC
Organization’s Mailing Address 3129 25TH STREET BOX 387
City COLUMBUS
State IN
ZIP 47203
Accounting period End 12
Primary contact name DAVID R BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID BURNETT
EXECUTIVE DIRECTOR
2605 14TH STREET
COLUMBUS IN 47201

Officer/Director/Trustee Two

JOSHUA BURNETT
PRESIDENT
717 LUNDY LANE
COLUMBUS IN 47203

Officer/Director/Trustee Three

KATHY BURNETT
TREASURER
2605 14TH STREET
COLUMBUS IN 47201

Officer/Director/Trustee Four

TIMOTHY JARNAGAN
SECRETARY
1013 ASPEN LANE
COLUMBUS IN 47203

Organization’s website
Organization’s email MOSAIC.PASTORDAVID@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2020
Organization Incorporation State IN
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 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 DAVID BURNETT
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/2/2020

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