FORM 1023-EZ for EGLISE PRIMITIVE DE JERUSALEM INC

Field Data
EIN 46-4317230
Case Number EO-2014265-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EGLISE PRIMITIVE DE JERUSALEM INC
Organization’s Mailing Address 302 NW 100 TERRACE
City MIAMI
State FL
ZIP 33150
Accounting period End 12
Primary contact name ELIRASE METAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HERMAN PIERRE
PRESIDENT
302 NW 100 TERRACE
MIAMI FL 33150

Officer/Director/Trustee Two

ELIRASE METAYER
VICE-PRESIDENT
302 NW 100 TERRACE
MIAMI FL 33150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S50 - Nonprofit Management
Organization’s purpose Charitable: No
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 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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