FORM 1023-EZ for IGLESIA BAUTISTA ISRAEL INC

Field Data
EIN 81-5170222
Case Number EO-2017067-000688
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IGLESIA BAUTISTA ISRAEL INC
Organization’s Mailing Address 3921 HIXON AVENUE
City SAINT CLOUD
State FL
ZIP 34772
Accounting period End 12
Primary contact name ANGEL RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PARRISH JACOME
PRESIDENT
3925 HIXON AVENUE
SAINT CLOUD FL 34772

Officer/Director/Trustee Two

ANGEL RIVERA
VICE PRESIDENT
3925 HIXON AVENUE
SAINT CLOUD FL 34772

Officer/Director/Trustee Three

WANDA RIVERA
TRESSURER
3925 HIXON AVENUE
SAINT CLOUD FL 34772

Officer/Director/Trustee Four

TOYI JACOME
SECRETARY
3925 HIXON AVENUE
SAINT CLOUD FL 34772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2017
Organization Incorporation State FL
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 No
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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