| Field | Data |
|---|---|
| EIN | 47-4762490 |
| Case Number | EO-2015225-000389 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | XODUS PRISON MINISTRY INC |
| Organization’s Mailing Address | 3624 MATIRA CT |
| City | CLERMONT |
| State | FL |
| ZIP | 34711 |
| Accounting period End | 12 |
| Primary contact name | RENEE VARGA CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
EDWARD DUBOSQ
PRESIDENT
3624 MATIRA CT
CLERMONT FL 34711
THERESA ROSENBERG
SEC / TREASURER
10548 ALAMEDA ALMA RD
CLERMONT FL 34711
HARMON BIEHL
BOARD MEMBER
3624 MATIRA CT
CLERMONT FL 34711
DONALD NAVARA
BOARD MEMBER
3624 MATIRA CT
CLERMONT FL 34711
MICHAEL KENNEDY
BOARD MEMBER
3624 MATIRA CT
CLERMONT FL 34711
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/31/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| 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 | |
| Signature Title | |
| Signature Date |
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