FORM 1023-EZ for CHURCH OF JESUS CHRIST INTL TEMPLOBETHEL

Field Data
EIN 81-1055769
Case Number EO-2016013-000541
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHURCH OF JESUS CHRIST INTL TEMPLOBETHEL
Organization’s Mailing Address 17464 MOORE RD
City MOUNT VERNON
State WA
ZIP 98273
Accounting period End 12
Primary contact name DANIEL LOPEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FELICIANO LOPEZ VASQUEZ
PASTOR
17318 MOORE RD
MOUNT VERNON WA 98273

Officer/Director/Trustee Two

DOMINGO ROJAS PALACIO
PRESIDENT
17536 BENNETT RD APT 201
MOUNT VERNON WA 98273

Officer/Director/Trustee Three

MARCIANO LOPEZ GUZMAN
VICE PRESIDENT
24356 WICKER ROAD UNIT 9
SEDRO WOOLLEY WA 98284

Officer/Director/Trustee Four

ANTONIO LOPEZ GUZMAN
SECRETARY
17588 BENNET RD UNIT A
MOUNT VERNON WA 98273

Officer/Director/Trustee Five

ALBINO CERVANTES FLORES
TRESURER
1400 N 30TH ST UNIT 165
MOUNT VERNON WA 98273

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2015
Organization Incorporation State WA
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: 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 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
Signature Title
Signature Date

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