FORM 1023-EZ for IGLESIA PENTECOSTAL UNIDA HISPANA INC EL GRAN YO SOY NEW HAVEN CT

Field Data
EIN 47-5571128
Case Number EO-2018052-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IGLESIA PENTECOSTAL UNIDA HISPANA INC EL GRAN YO SOY NEW HAVEN CT
Organization’s Mailing Address 61 KIMBERLY AVE
City NEW HAVEN
State CT
ZIP 6519
Accounting period End 12
Primary contact name HOMMY CLEMENTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOMMY CLEMENTE
PRESIDENT
463 CONGRESS AVE APT 100
NEW HAVEN CT 6519

Officer/Director/Trustee Two

MARIA SANCHEZ
SR PASTOR
61 KIMBERLY AVE 1 FLOOR
NEW HAVEN CT 6519

Officer/Director/Trustee Three

CRISTINA SANCHEZ
TREASURER
173-175 DAVENPORT AVE APT 3
NEW HAVEN CT 6519

Officer/Director/Trustee Four

ADIEL HERNANDEZ
DEACON
610 CHOPSEY HILL RD
BRIDGEPORT CT 6606

Officer/Director/Trustee Five

OSCAR SOLIS
VICE PRESIDENT
143 MEDFORD STREET
WEST HAVEN CT 6518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/15
Organization Incorporation State CT
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: Yes
Educational: Yes
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 HOMMY CLEMENTE
Signature Title PRESIDENT
Signature Date 2/16/18

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