FORM 1023-EZ for BORN AGAIN BELIEVERS CHURCH INTERNATIONAL INC

Field Data
EIN 46-2355255
Case Number EO-2016258-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BORN AGAIN BELIEVERS CHURCH INTERNATIONAL INC
Organization’s Mailing Address 1375 S DELEON AVENUE
City TITUSVILLE
State FL
ZIP 32780
Accounting period End 12
Primary contact name PASTOR MICHAEL JONES SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL JONES
PRESIDENT PASTOR
3205 S WASHINGTON AV UNIT 903
TITUSVILLE FL 32780

Officer/Director/Trustee Two

ROSE JONES
VICE PRESIDENT DIRECTOR
3205 S WASHINGTON AV UNITE 903
TITUSVILLE FL 32780

Officer/Director/Trustee Three

TOCCARA THOMAS
SECRETARY DIRECTOR
1375 S DELEON AVENUE
TITUSVILLE FL 32780

Officer/Director/Trustee Four

MICHAEL JONES II
COO
1375 S DELEON AVENUE
TITUSVILLE FL 32780

Officer/Director/Trustee Five

MICHAEL JOHNSON
DIRECTOR
1375 S DELEON AVENUE
TITUSVILLE FL 32780

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2010
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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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