FORM 1023-EZ for AUTHENTIC CHURCH OF GOD INC

Field Data
EIN 47-2747926
Case Number EO-2015180-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUTHENTIC CHURCH OF GOD INC
Organization’s Mailing Address 4761 NORTH AUSTRALIAN AVE
City WEST PALM BEACH
State FL
ZIP 33407
Accounting period End 11
Primary contact name GEORGIA RHODEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGIA RHODEN
PRESIDENT
4761 NORTH AUSTRALIAN AVE
WEST PALM BEACH FL 33407

Officer/Director/Trustee Two

MONIQUE MCPHERSON
VICE PRESIDENT
4759 NORTH AUSTRALIAN AVE
WEST PALM BEACH FL 33407

Officer/Director/Trustee Three

SAMANTHA SMITH
TREASURY
3021 DOLPHIN DRIVE
MIRAMAR FL 33025

Officer/Director/Trustee Four

EDWARD FUNCHES
DIRECTOR
380 NORTH WEST 17TH AVE
BOYNTON BEACH FL 33435

Organization’s website
Organization’s email AUTHENTICCHURCHOFGOD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2014
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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