FORM 1023-EZ for DIVINE CONNECTION INTL DELIVERANCEMINISTRY INC

Field Data
EIN 46-3413112
Case Number EO-2020274-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE CONNECTION INTL DELIVERANCEMINISTRY INC
Organization’s Mailing Address 10791 NW 14TH STREET 296
City Plantation
State FL
ZIP 33322
Accounting period End 12
Primary contact name DR NICOLE DAWN MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE D MITCHELL
PRESIDENT
10791 NW 14TH STREET 296
PLANTATION FL 33322

Officer/Director/Trustee Two

SHONARI D TITUS
TREASURER
10791 NW 14TH STREET 296
PLANTATION FL 33322

Officer/Director/Trustee Three

AMBER D TITUS
SECRETARY
10791 NW 14TH STREET 296
PLANTATION FL 33322

Organization’s website
Organization’s email NGREENMITCHELL46@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 NICOLE D MITCHELL
Signature Title PRESIDENT
Signature Date 9/28/2020

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