FORM 1023-EZ for REHOBOTH INSPIRED MINISTRIES INTERNATIONAL INCORPORATED

Field Data
EIN 83-2628650
Case Number EO-2019042-000491
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REHOBOTH INSPIRED MINISTRIES INTERNATIONAL INCORPORATED
Organization’s Mailing Address 2908 ROSS ROAD
City DACULA
State GA
ZIP 30019
Accounting period End 12
Primary contact name YVONNE DUNBAR JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YVONNE DUNBAR JACKSON
CFO
2203 TRINITY GROVE COURT
DACULA GA 30019-1080

Officer/Director/Trustee Two

JERIMIAH MCCLARY
CEO/PASTOR
2908 ROSS ROAD
SNELLVILLE GA 30039-7325

Officer/Director/Trustee Three

EDITH TAYLOR
SECRETARY
935 TAB ROBERTS ROAD
LAWRENCEVILLE GA 30043-4147

Officer/Director/Trustee Four

JOHN CALLAHAM
COMMUNITY ADVISOR
PO BOX 182
CLEVELAND GA 30528-4

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/18
Organization Incorporation State GA
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: Yes
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 YVONNE DUNBAR JACKSON
Signature Title CFO
Signature Date 2/9/19

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