FORM 1023-EZ for LIVING CHURCH OF GOD INC

Field Data
EIN 46-5625891
Case Number EO-2015056-000182
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING CHURCH OF GOD INC
Organization’s Mailing Address 1160 ALABAMA AVENUE
City FORT LAUDERDALE
State FL
ZIP 33312
Accounting period End 12
Primary contact name JOSTHENE DUVERNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSTHENE DUVERNE
PRESIDENT
1160 ALABAMA AVNUE
FORT LAUDERDAL FL 33312

Officer/Director/Trustee Two

FRISTZ-NET DESIR
VICE PRSIDENT
6790 NW 28 STREE
SUNRISE FL 33313

Officer/Director/Trustee Three

JOHANNE MONFISTIN-DESIR
SECTETARY
6790 NW 28TH STREET
SUNRISE FL 33313

Officer/Director/Trustee Four

AVILA CHARLES
TREASURER
131 NE 25TH STREET
POMPANO BEACH FL 33064

Officer/Director/Trustee Five

LUCIENNE JOSHEPH
DIRECTOR
2413 NW 39 TERRACE
LAUDERDALE LAKESS FL 33311

Organization’s website
Organization’s email JJOSDUVERNE11@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/1914
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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