FORM 1023-EZ for MELCHIZEDEK INC

Field Data
EIN 26-3962467
Case Number EO-2014353-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MELCHIZEDEK INC
Organization’s Mailing Address 829 53RD AVE S
City ST PETERSBURG
State FL
ZIP 33705
Accounting period End 8
Primary contact name ANDREA L CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AIRION BRADLEY
PRESIDENT
829 53RD AVE S
ST PETERSBURG FL 33705

Officer/Director/Trustee Two

JA-NICE WYCHE
VICE PRESIDENT
1001 N MLK JR AVE APT 604
CLEARWATER FL 33755

Officer/Director/Trustee Three

ANDREA CLARK
SECRETARY
303 BRIGADOON DR
Clearwater FL 33759

Officer/Director/Trustee Four

RENEA JACKSON-MARTIN
TREASURER
5834 25TH WAY S
ST PETERSBURG FL 33712

Organization’s website
Organization’s email MELCHIZEDEKINCFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
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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