FORM 1023-EZ for ADVENTIST MOTORCYCLE MINISTRY INC

Field Data
EIN 27-0383526
Case Number EO-2014272-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADVENTIST MOTORCYCLE MINISTRY INC
Organization’s Mailing Address P O BOX 173535
City TAMPA
State FL
ZIP 33672
Accounting period End 12
Primary contact name JUAN SANTOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUAN SANTOS
NATIONAL PRESIDENT
3407 FLAGSTAFF CIR
WIMAUMA FL 33598

Officer/Director/Trustee Two

JUAN GARCIA
NATIONAL VICE PRESIDENT
16520 SW 97TH ST
MIAMI FL 33196

Officer/Director/Trustee Three

HERB ORELLANA
NATIAONAL TREASURER
2837 SUNSET DRIVE
MIAMI FL 33143

Officer/Director/Trustee Four

LAURIE OLSON
NATIONAL SECRETARY
722 WASHINGTON ST
LAFAYETTE OR 97127

Organization’s website WWW.ADVENTISTMOTORCYCLEMINISTRY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 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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