FORM 1023-EZ for NEW JERUSALEM KINGDOM INTERNATIONALMINISTRY INC

Field Data
EIN 47-4642694
Case Number EO-2016335-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW JERUSALEM KINGDOM INTERNATIONALMINISTRY INC
Organization’s Mailing Address 2613 JESS GUEST ROAD
City DEWY ROSE
State GA
ZIP 30634
Accounting period End 12
Primary contact name HENRY BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY BUTLER
PRESIDENT
2613 JESS GUEST RD
DEWY ROSE GA 30634

Officer/Director/Trustee Two

CLARETHA SPAIN
VICE PRESIDENT
2613 JESS GUEST RD
DEWY ROSE GA 30634

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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