FORM 1023-EZ for LITTLE SAINT JOHN MISSIONARY BAPTIST CHURCH

Field Data
EIN 77-0717507
Case Number EO-2018054-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE SAINT JOHN MISSIONARY BAPTIST CHURCH
Organization’s Mailing Address P O BOX 246
City PERRY
State FL
ZIP 32348
Accounting period End 12
Primary contact name WILL HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BUTLER
PASTER
419 MERCURY DR
TALLAHASSEE FL 32301

Officer/Director/Trustee Two

BRENDA PHILLIPS
TREASURER
109 WILLIAMS ST
PERRY FL 32348

Officer/Director/Trustee Three

SYLVESTER HARRIS
BOARD MEMBER
109 WILLIAMS ST
PERRY FL 32348

Officer/Director/Trustee Four

CLYDE HARRIS
BOARD MEMBER
109 WILLIIAMS ST
PERRY FL 32348

Officer/Director/Trustee Five

KC DONALDSON
BOARD MEMBER
109 WILLIAMS ST
PERRY FL 32348

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/13
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 Yes
Donation of funds Yes
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 Yes
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 BRENDA PHILLIPS
Signature Title TREASURER
Signature Date 2/21/18

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