FORM 1023-EZ for AGAPE CHILDRENS MINISTRY INTERNATIONAL ORGANIZATION

Field Data
EIN 82-5408684
Case Number EO-2018318-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGAPE CHILDRENS MINISTRY INTERNATIONAL ORGANIZATION
Organization’s Mailing Address 100 BROOKLET WAY
City BROOKS
State GA
ZIP 30205
Accounting period End 12
Primary contact name DAVID LEBBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID LEBBY
CHIEF EXECUTIVE OFFICER
100 BROOKLET WAY
BROOKS GA 30205

Officer/Director/Trustee Two

EVA ELWIN
U.S. DIRECTOR
124 MEMORY LANE
HICKSVILLE NY 11801

Officer/Director/Trustee Three

AGNES ELWIN
ONSITE DIRECTOR
124 MEMORY LANE
HICKSVILLE NY 11801

Officer/Director/Trustee Four

CHARLIE LEBBY
CHIEF FINANCIAL OFFICER
1125 HUNTCLIFF VILLAGE COURT
SANDY SPRINGS GA 30350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P76 - Youth Housing
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 Yes
Donation of funds Yes
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 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 DAVID LEBBY
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 11/6/18

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