FORM 1023-EZ for G5 MISSIONS

Field Data
EIN 83-2383991
Case Number EO-2018318-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name G5 MISSIONS
Organization’s Mailing Address 1300 CANAL ST
City NEW SMYRNA BEACH
State LA
ZIP 32168
Accounting period End 12
Primary contact name BARBARA MICHELE MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA MICHELE MILLER
PRESIDENT
21 HILLSIDE DR
NEW SMYRNA BEACH FL 32169

Officer/Director/Trustee Two

MICHAEL SHANE MILLER
VICE PRESIDENT
21 HILLSIDE DR
NEW SMYRNA BEACH FL 32169

Officer/Director/Trustee Three

DANIELE LOWE
CFO
3414 WOODLAND BLVD
EDGEWATER FL 32141

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/18
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: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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 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 BARBARA MICHELE MILLER
Signature Title PRESIDENT
Signature Date 11/12/18

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