FORM 1023-EZ for FIRST CHURCH OF GOD - PRIMERA IGLESIA DE DIOS INC

Field Data
EIN 83-2297966
Case Number EO-2021064-001871
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST CHURCH OF GOD - PRIMERA IGLESIA DE DIOS INC
Organization’s Mailing Address 467 RIDGE PINE DRIVE
City CANTON
State GA
ZIP 30114
Accounting period End 12
Primary contact name CLAUDIA CRUZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNARDO CRUZ-SALAZAR
PRESIDENT
467 RIDGE PINE DRIVE
CANTON GA 30114

Officer/Director/Trustee Two

EVARISTO BURGOS
SECRETARY
23 B SOUTH STREET
NEWNAN GA 30263

Officer/Director/Trustee Three

OSVALDO PINTOR
TREASURER
129 ORANGE DRIVE
DALTON GA 30721

Organization’s website
Organization’s email FIRSTCHURCHOFGOD18@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2018
Organization Incorporation State GA
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 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 BERNARDO CRUZ-SALAZAR
Signature Title PRESIDENT
Signature Date 1/13/2021

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