FORM 1023-EZ for MIRACLE DELIVERANCE OUTREACH MINISTRIES INC

Field Data
EIN 27-1098912
Case Number EO-2018317-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRACLE DELIVERANCE OUTREACH MINISTRIES INC
Organization’s Mailing Address 23331 N STATE ROAD 235
City BROOKER
State FL
ZIP 32622
Accounting period End 12
Primary contact name CELETE FRAZIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELORIS GATLIN
PRESIDENT
23331 N STATE ROAD 235
BROOKER FL 32622

Officer/Director/Trustee Two

WILLIE GATLIN
VICE PRESIDENT
23331 N STATE ROAD 235
BROOKER FL 32622

Officer/Director/Trustee Three

KIARA RANDOLPH
TREASURER
5758 SW 91ST PLACE
LAKE BUTLER FL 32054

Officer/Director/Trustee Four

RANDY RANDOPLH
SECRETARY
5758 SW 91ST PLACE
LAKE BUTLER FL 32054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/09
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: 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 WILLIE GATLIN
Signature Title VICE PRESIDENT
Signature Date 11/10/18

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