FORM 1023-EZ for SHEKINAH LIVING WORD TABERNACLE

Field Data
EIN 84-4466375
Case Number EO-2020045-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEKINAH LIVING WORD TABERNACLE
Organization’s Mailing Address 6502 METAL DR
City FORT PIERCE
State FL
ZIP 34945
Accounting period End 12
Primary contact name MARIO LUSMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIO LUSMA
PRESIDENT
P O BOX 8192
PORT SAINT LUCIE FL 34985

Officer/Director/Trustee Two

ROOSEVELT VILBRUN
TR
1816 NW RED BUD CIRCLE
PALM BAY FL 32907

Officer/Director/Trustee Three

RUBEN JOSEPH
BOARD MEMBER
5364 NW ALARM CIRCLE
PORT SAINT LUCIE FL 34986

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
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: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 MARIO LUSMA
Signature Title PRESIDENT
Signature Date 2/12/2020

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