FORM 1023-EZ for ECCLESIA PRAYER CLINIC BILINGUAL MINISTRY

Field Data
EIN 83-2149101
Case Number EO-2020210-000611
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ECCLESIA PRAYER CLINIC BILINGUAL MINISTRY
Organization’s Mailing Address 118 MANSION AVENUE
City VOORHEES
State NJ
ZIP 08043-1060
Accounting period End 12
Primary contact name CYNTHIA SCREEN-SHEARED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT SHEARED
ELDER
118 MANSION AVENUE
VOORHEES NJ 08043-1060

Officer/Director/Trustee Two

CYNTHIA SCREEN-SHEARED
PASTOR
118 MANSION AVENUE
VOORHEES NJ 08043-1060

Officer/Director/Trustee Three

SHARON GREGORY
TRUSTEE
22 W HUNTINGDON ST
PHILADELPHIA PA 19133

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2019
Organization Incorporation State NJ
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 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 ROBERT SHEARED
Signature Title ELDER
Signature Date 7/24/2020

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