FORM 1023-EZ for ELOHIM URBAN MISSION
| Field | Data |
|---|---|
| EIN | 37-1856852 |
| Case Number | EO-2017191-000215 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ELOHIM URBAN MISSION |
| Organization’s Mailing Address | 1007 N FEDERAL HIGHWAY |
| City | FORT LAUDERDALE |
| State | FL |
| ZIP | 33304 |
| Accounting period End | 12 |
| Primary contact name | REV LAMONT LEWIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LAMONT LEWIS
PRESIDENT CEO
1107 N FEDERAL HIGHWAY
FORT LAUDERDALE FL 33304
Officer/Director/Trustee Two
DERRICK JACKSON JR
VICE PRESIDENT
5514 W AUGUSTA
CHICAGO IL 60651
Officer/Director/Trustee Three
LAZERRICK JACKSON
TREASURE
5514 W AUGUSTA
CHICAGO IL 60651
Officer/Director/Trustee Four
ZAHARA BASSETT
SECRETARY
1033 N ANDREWS
FORT LAUDERDALE FL 33311
Officer/Director/Trustee Five
PATRICK DRUMMOND
HEALTH DIRECTOR
1194 NW 40TH AVE
LAUDERHILL FL 33313
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/16/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: No Religious: Yes Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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