FORM 1023-EZ for BLESS A RECOVER HOMELESS NEW WINE JESUS CHRIST INC

Field Data
EIN 81-1603414
Case Number EO-2017135-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLESS A RECOVER HOMELESS NEW WINE JESUS CHRIST INC
Organization’s Mailing Address 105 BELLEZZA TERACE
City ROYAL PALM BEACH WES
State FL
ZIP 33411
Accounting period End 12
Primary contact name BEAUCIUS RICHARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BEAUCIUS RICHARD
PRESIDENT
105 BELLEZZE TERACE
ROYAL PALM BEACHWEST FL 33411

Officer/Director/Trustee Two

PATRICK ANTOINE
DIRECTOR
3550 NW 26TH STREET
LAUDERHILL LAKES FL 33311

Officer/Director/Trustee Three

CINDY DURANDICE
DIRECTOR
1302 S 12 TH AVE
LAKE WORTH FL 33460

Officer/Director/Trustee Four

LOUISE RICHARD P D
DIRECTOR
105 BELLEZZE TERACE
ROYAL PALM BEACHWEST FL 33411

Officer/Director/Trustee Five

JENNY RICHARD
DIRECTOR
105 BELLEZZE TERACE
ROYAL PALM BEACHWEST FL 33411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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
Signature Title
Signature Date

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