FORM 1023-EZ for EFFUSION MINISTRIES INC

Field Data
EIN 85-3269440
Case Number EO-2021174-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EFFUSION MINISTRIES INC
Organization’s Mailing Address 4811 NW 18TH ST
City LAUDERHILL
State FL
ZIP 33313
Accounting period End 12
Primary contact name ERIN EDEBOHLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOCELIN BELIZAIRE
PRESIDENT
4811 NW 18TH ST
LAUDERHILL FL 33313

Officer/Director/Trustee Two

MYRIANE SAMPEUR
TREASURER
4811 NW 18TH ST
LAUDERHILL FL 33313

Officer/Director/Trustee Three

MARIE TERVIL
SECRETARY
4811 NW 18TH ST
LAUDERHILL FL 33313

Organization’s website EFFUSIONTV.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
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: 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 JOCELIN BELIZAIRE
Signature Title PRESIDENT
Signature Date 6/21/2021

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