FORM 1023-EZ for HUMAN RESTORATION INTERNATIONAL MINISTRY INC

Field Data
EIN 81-4625699
Case Number EO-2019259-000488
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMAN RESTORATION INTERNATIONAL MINISTRY INC
Organization’s Mailing Address 28 PEARDAGAT 12 STREET
City BROOKLYN
State NY
ZIP 11236
Accounting period End 12
Primary contact name ROSEMINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSEMINA SOUVENIR
OFFICER
28 PAERDAGAT 12 STREET
BROOKLYN NY 11236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROSEMINA SOUVENIR
Signature Title OFFICER
Signature Date 9/10/19

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