FORM 1023-EZ for REBIRTH BAPTIST ASSEMBLY
| Field | Data |
|---|---|
| EIN | 81-4700104 |
| Case Number | EO-2017052-000360 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | REBIRTH BAPTIST ASSEMBLY |
| Organization’s Mailing Address | 9320 S ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| ZIP | 60620 |
| Accounting period End | 12 |
| Primary contact name | LARRY TRASK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LARRY TRASK
MINISTER/PASTOR
1806 CAMELLIA DR
MUNSTER IN 46321
Officer/Director/Trustee Two
TREZVANT THOMAS
DIRECTOR
59 W 113TH ST
CHICAGO IL 60628
Officer/Director/Trustee Three
PEARLEANA BULTER
TRUSTEE
2478 LAKE POINTE DR
LYNWOOD IL 60411
Officer/Director/Trustee Four
JOSEPHINE JOHNSON
DIRECTOR
14231 WABASH AVE
RIVERDALE IL 60827
Officer/Director/Trustee Five
LESLIE HENDERSON
OFFICER
7737 S COLES AVE
CHICAGO IL 60649
| Organization’s website | |
|---|---|
| Organization’s email | LARRY.TRASK@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2017 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| 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 | 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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