FORM 1023-EZ for JESUS HANDS FOR ROATAN INC

Field Data
EIN 46-4752715
Case Number EO-2014267-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JESUS HANDS FOR ROATAN INC
Organization’s Mailing Address 8925 AVENIDA MIRAVILLA
City CHERRY VALLEY
State CA
ZIP 92223
Accounting period End 12
Primary contact name DAVID TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID TAYLOR
PRESIDENT AND DIRECTOR
8925 AVENIDA MIRAVILLA
CHERRY VALLEY CA 92223

Officer/Director/Trustee Two

MELISSA WISNER
DIRECTOR/SECRETARY
160 LIBERTY ST NE UNIT 202
SALEM OR 97301

Officer/Director/Trustee Three

MIRANDA BURTON
DIRECTOR/TREASURER
39710 BALDI CT
CHERRY VALLEY CA 92223

Officer/Director/Trustee Four

KATRINA TAYLOR
DIRECTOR
8925 AVENIDA MIRAVILLA
CHERRY VALLEY CA 92223

Officer/Director/Trustee Five

SERENA BIGGS
DIRECTOR
34006 ORO FINO CT
YUCAIPA CA 92399

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P19 - Nonmonetary Support N.E.C.
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 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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