FORM 1023-EZ for CHRIST HOSPITAL MINISTRIES INC

Field Data
EIN 47-1775667
Case Number EO-2015212-000525
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRIST HOSPITAL MINISTRIES INC
Organization’s Mailing Address 27507 WAIKIKI COURT
City WESLEY CHAPEL
State FM
ZIP 33544
Accounting period End 12
Primary contact name MODUPEOLA AJAYI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MODUPEOLA AJAYI
DIRECTOR
27507 WAIKIKI COURT
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Two

SAM AJLBOLA
DIRECTOR
27507 WAIKIKI COURT
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Three

ISAAC OLABISI
DIRECTOR
27507 WAIKIKI COURT
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Four

YINKA OSAGE
DIRECTOR
27507 WAIKIKI COURT
WESLEY CHAPEL FL 33544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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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