FORM 1023-EZ for IGLESIA DISCIPULAR ANABAPTISTA

Field Data
EIN 46-3517327
Case Number EO-2016098-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IGLESIA DISCIPULAR ANABAPTISTA
Organization’s Mailing Address 1552 SOUTH HIGH STREET
City HARRISONBURG
State VA
ZIP 22801-1523
Accounting period End 12
Primary contact name LYNN SUTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUIS MARTINEZ
PRESIDENT
1552 SOUTH HIGH STREET
HARRISONBURG VA 22801-1523

Officer/Director/Trustee Two

THERESA WITMER
DIRECTOR
7720 OTTOBINE ROAD
DAYTON VA 22821-3053

Officer/Director/Trustee Three

PHILIP WITMER
DIRECTOR
7720 OTTOBINE ROAD
DAYTON VA 22821-3053

Officer/Director/Trustee Four

CARLOS MADRID
DIRECTOR
1542 N COLLEGE AVE
HARRISONBURG VA 22802-5535

Officer/Director/Trustee Five

ALFONSO ALVARADO
DIRECTOR
1715 COUNTRY CLUB ROAD
HARRISONBURG VA 22802-8819

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
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 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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