FORM 1023-EZ for ST FRANCIS HOPE AND HEALTH MINISTRYINC

Field Data
EIN 82-2798731
Case Number EO-2017268-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST FRANCIS HOPE AND HEALTH MINISTRYINC
Organization’s Mailing Address 802 NORTH BELCHER RD
City CLEARWATER
State FL
ZIP 33765
Accounting period End 12
Primary contact name MELISSIA GAUTHREAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE AVERILL
PRESIDENT
802 NORTH BELCHER ROAD
CLEARWATER FL 33765

Officer/Director/Trustee Two

FRANK AVERILL
VICE PRESIDENT
802 NORTH BELCHER ROAD
CLEARWATER FL 33765

Officer/Director/Trustee Three

CESAR FERNANDEZ
TREASURER
802 NORTH BELCHER ROAD
CLEARWATER FL 33765

Officer/Director/Trustee Four

PAM MILLER
SECRETARY
802 NORTH BELCHER ROAD
CLEARWATER FL 33765

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
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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