FURP.ORG / PUBLIC DATA EXPLORER

KINGDOM WORKS MINISTRIES INC: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KINGDOM WORKS MINISTRIES INC (EIN 45-0520255)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349101150
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T13:35:35-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560574444EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Cherry Bekaert & Holland LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11180 W Peachtree Street Suite 1400AddressLine1
CityAtlantaCity
StateGAState
ZIP Code303093482ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN450520255EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Kingdom Works Ministries IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKINGNameControl
Phone7709930094Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 Market PlaceAddressLine1
CityRoswellCity
StateGAState
ZIP Code30075ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTerry DelleyName
TitlePresidentTitle
Phone7709930094Phone
Date Signed2012-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBarry SchimlerName
PTINP00110131PTIN
Phone4042090954Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY159674FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss76701ContriReceivedRevAndExpnss
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm0NetSTCGAdjNetIncm
Total Revenue And Expenses76701TotalRevenueAndExpenses
Total Net Investment Income0TotalNetInvestmentIncome
Total Adjusted Net Income0TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Legal Fees Rev And Expnss600LegalFeesRevAndExpnss
Legal Fees Net Invst Incm0LegalFeesNetInvstIncm
Legal Fees Adj Net Incm0LegalFeesAdjNetIncm
Legal Fees Dsbrs Chrtbl Prps0LegalFeesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss3361DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm0DeprecAndDepletionNetInvstIncm
Deprec And Depletion Adj Net Incm3361DeprecAndDepletionAdjNetIncm
Other Expenses Rev And Expnss8940OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm0OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps994OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss12901TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm3361TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps994TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss89043ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps89043ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss101944TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm3361TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps90037TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-25243ExcessOfRevenueOverExpenses
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Land Building And Equipment Basis66608LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip17016AccumDeprecLandBldgAndEquip
Land Building And Equipment BOY52953LandBuildingAndEquipmentBOY
Land Building And Equipment EOY49592LandBuildingAndEquipmentEOY
Land Building And Equipment EOYFMV49592LandBuildingAndEquipmentEOYFMV
Other Assets BOY131964OtherAssetsBOY
Other Assets EOY110082OtherAssetsEOY
Other Assets EOYFMV110082OtherAssetsEOYFMV
Total Assets BOY184917TotalAssetsBOY
Total Assets EOY159674TotalAssetsEOY
Total Assets EOYFMV159674TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY184917CapitalStockBOY
Capital Stock EOY159674CapitalStockEOY
Paid In Or Capital Surplus BOY0PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY0PaidInOrCapitalSurplusEOY
Retained Earnings BOY0RetainedEarningsBOY
Retained Earnings EOY0RetainedEarningsEOY
Total Net Assets BOY184917TotalNetAssetsBOY
Total Net Assets EOY159674TotalNetAssetsEOY
Total Liabilities Net Assets BOY184917TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY159674TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY184917TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-25243ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal159674Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY159674TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year123910QualifyingDistributionsYear1
Noncharitable Assets Year110832NoncharitableAssetsYear1
Distribution Ratio Year12.207349DistributionRatioYear1
Qualifying Distributions Year232425QualifyingDistributionsYear2
Noncharitable Assets Year211197NoncharitableAssetsYear2
Distribution Ratio Year22.895865DistributionRatioYear2
Qualifying Distributions Year314066QualifyingDistributionsYear3
Noncharitable Assets Year30NoncharitableAssetsYear3
Distribution Ratio Year30.0DistributionRatioYear3
Qualifying Distributions Year40QualifyingDistributionsYear4
Noncharitable Assets Year40NoncharitableAssetsYear4
Distribution Ratio Year40.0DistributionRatioYear4
Total Distribution Ratio5.103214TotalDistributionRatio
Average Distribution Ratio1.275804AverageDistributionRatio
Net Noncharitable Assets126314NetNoncharitableAssets
Adjusted Noncharitable Assets161152AdjustedNoncharitableAssets
One Percent Net Investment Income0OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One161152AdjNonchrtblAssetsAndOnePct
Qualifying Distributions90037QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax0InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal0Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income0TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due0TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithGAStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation1PrivateOperatingFoundation
New Substantial Contributors1NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1Terry E DelleyBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number7709930094BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1400 Market PlaceAddressLine1
CityRoswellCity
StateGAState
ZIP Code30075ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
Terry E Delley
400 Market PlaceRoswellGA30075President & CEO10.00000
Silvia Delley
400 Market PlaceRoswellGA30075Volunteer40.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1Donation to Mount Paren Church for missions ministry to help the needyDescription1
Expenses175448Expenses1
Description2Donation to Partners in Compassionate Care for missions ministry and to help the needyDescription2
Expenses25000Expenses2
Description3Donation to New Life Church for missions ministry and to help the needyDescription3
Expenses35000Expenses3

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances128238AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets128238TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets128238AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable1924CashDeemedCharitable
Net Noncharitable Assets126314NetNoncharitableAssets
Minimum Investment Return6316MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgXSect4942j3j5FndtnAndFrgnOrg

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions90037ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions90037QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions90037AdjQualifyingDistributions

Private Operating Foundations PrivateOperatingFoundations

FieldValueIRS element (for citing)
Date Of Ruling2006-01-01DateOfRuling
Section4942j3XSection4942j3

Lessor Adj Net Incm Min Invst Return LessorAdjNetIncmMinInvstReturn

FieldValueIRS element (for citing)
Current Year0CurrentYear
Year10Year1
Year20Year2
Year30Year3
Total0Total

Percent85 Of Lessor Percent85OfLessor

FieldValueIRS element (for citing)
Current Year0CurrentYear
Year10Year1
Year20Year2
Year30Year3
Total0Total

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Current Year90037CurrentYear
Year123910Year1
Year232425Year2
Year314070Year3
Total160442Total

Qlfy Distri Not Used Directly QlfyDistriNotUsedDirectly

FieldValueIRS element (for citing)
Current Year0CurrentYear
Year10Year1
Year20Year2
Year30Year3
Total0Total

Qlfy Distri Made Directly QlfyDistriMadeDirectly

FieldValueIRS element (for citing)
Current Year90037CurrentYear
Year123910Year1
Year232425Year2
Year314070Year3
Total160442Total

Total Assets TotalAssets

FieldValueIRS element (for citing)
Year1184917Year1
Year2193238Year2
Year3219686Year3
Total597841Total

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3Bi

FieldValueIRS element (for citing)
Year1184917Year1
Year2193238Year2
Year3219686Year3
Total597841Total

Two Thirds Min Invst Return TwoThirdsMinInvstReturn

FieldValueIRS element (for citing)
Total0Total

Total Support TotalSupport

FieldValueIRS element (for citing)
Year126619Year1
Year253904Year2
Total80523Total

Public Support PublicSupport

FieldValueIRS element (for citing)
Total0Total

Largest Support From EO LargestSupportFromEO

FieldValueIRS element (for citing)
Total0Total

Gross Investment Income GrossInvestmentIncome

FieldValueIRS element (for citing)
Year3386Year3
Total386Total

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerTerry E DelleyContributingManager
Contributing ManagerSilvia DelleyContributingManager

Appication Submission Info AppicationSubmissionInfo

FieldValueIRS element (for citing)
Recipient NameTerry E DelleyRecipientName

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1400 Market PlaceAddressLine1
CityRoswellCity
StateGAState
ZIP Code30075ZIPCode
FieldValueIRS element (for citing)
Recipient Phone Number7709930094RecipientPhoneNumber
Form And Info And MaterialsVaries depending upon request - Typical first request is verbal to either an officer or board member.FormAndInfoAndMaterials
Submission DeadlinesN/ASubmissionDeadlines
Restrictions On AwardsN/ARestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (7 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
Mount Paren Church
2055 Mt Paran RdAtlantaGA30327NonePublicEvangelistic Ministries - To enhance the ministry's$75,448
Partners in Compassionate Care
PO Box 150278Grand RapidsMI49515NonePublicEvangelistic Ministries - To enhance the ministry's$5,000
New Life Church
3600 Snapfinger RdLithoniaGA30038NonePublicEvangelistic Ministries - To enhance the ministry's$5,000
Grace Ministries
131 Village Pkwy Northeast 4MariettaGA30067NonePublicEvangelistic Ministries - To enhance the ministry's$1,000
Michele Dimick
2156 Brannen DrAtlantaGA30318NoneN/AEvangelistic Ministries - To help the needy$1,095
Glenda Anderson
1736 Plain View RdRichardsonTX75080NoneN/AEvangelistic Ministries - To help the needy$1,000
God First Ministries
115 Old Conyers RoadStockbridgeGA30281NonePublicEvangelistic Ministries - To enhance the ministry's$500
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year89043TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$0ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA0TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor Number1ContributorNumber
Contributor Name IndividualTerry DelleyContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1400 Market PlaceAddressLine1
CityRoswellCity
StateGAState
ZIP Code30075ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions68448AggregateContributions
Person Contribution TypeXPersonContributionType

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (2 entries)

Description Of PropertyDescriptionOfPropertyDate AcquiredDateAcquiredCost Or Other BasisCostOrOtherBasisPrior Years DepreciationPriorYearsDepreciationComputation MethodComputationMethodLifeLifeCurrent Year ExpenseCurrentYearExpenseNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncome
Management and General Furniture2007-12-011547811634200DB5.000000000000205002050
Leasehold Improvement2009-06-15511302021SL39.000000000000131101311

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtc (2 entries)

Category Or ItemCategoryOrItemCost Or Other BasisCostOrOtherBasisAccumulated DepreciationAccumulatedDepreciationBook ValueBookValueEOYFMVEOYFMV
Management and General Furniture154781368417941794
Leasehold Improvement5113033324779847798

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

FieldValueIRS element (for citing)
CategoryLegal FeesCategory
Amount$600Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionCash - interest bearingDescription
BOY Book Value131964BOYBookValue
EOY Book Value110082EOYBookValue
EOYFMV110082EOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
BOD Insurance750000
Membership Dues500000
Merchant Services450000
Program Expenses724000994

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor

FieldValueIRS element (for citing)
Person NameTerry E DelleyPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 Market PlaceAddressLine1
CityRoswellCity
StateGAState
ZIP Code30075ZIPCode