FORM 1023-EZ for MISSION OF THE GOOD SAMARITANS INC
| Field | Data |
|---|---|
| EIN | 85-3612714 |
| Case Number | EO-2021082-000208 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MISSION OF THE GOOD SAMARITANS INC |
| Organization’s Mailing Address | 740 SE GREENVILLE BLVD STE 400 107 |
| City | GREENVILLE |
| State | NC |
| ZIP | 27858 |
| Accounting period End | 12 |
| Primary contact name | WILFRID DORVILUS REV |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WILFRID DORVILUS
CEO/PRESIDENT
2006 S ELM ST
GREENVILLE NC 27858
Officer/Director/Trustee Two
LISENA DORVILUS
VICE PRESIDENT
2006S ELM ST
GREENVILLE NC 27858
Officer/Director/Trustee Three
WILLIE RACHEL III
CFO
2001 COPPER BEACH WAY
GREENVILLE NC 27858
Officer/Director/Trustee Four
KANOU NYAMBI
SECRETARY
1288 PARK WEST DR APT 11
GREENVILLE NC 27834
Officer/Director/Trustee Five
EMMANUEL JEAN
MEMBER
26574 VALPARAISO DR
PUNTA GORDA FL 33983
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/2/2020 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A19 - 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 | No |
| 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 | WILFRID DORVILUS |
| Signature Title | CEO/PRESIDENT |
| Signature Date | 1/28/2021 |
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