FORM 1023-EZ for CHRISTOS INTERNATIONAL

Field Data
EIN 83-4549352
Case Number EO-2019119-000436
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTOS INTERNATIONAL
Organization’s Mailing Address 5524 SHADY CREST DRIVE
City RALEIGH
State NC
ZIP 27613
Accounting period End 12
Primary contact name GREGORY BLISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY BLISS
CHAIRMAN
5524 SHADY CREST DRIVE
RALEIGH NC 27613

Officer/Director/Trustee Two

TRACI HUMPHREY
VICE CHAIRMAN
811 S GLENDALE AVENUE
SIOUX FALLS SD 57104

Officer/Director/Trustee Three

KIMI BLISS
SECRETARY/TREASURER
5524 SHADY CREST DRIVE
RALEIGH NC 27613

Organization’s website
Organization’s email KIMI.CHRISTOS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 Yes
Donation of funds No
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 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 KIMI BLISS
Signature Title SECRETARY/TREASURER
Signature Date 4/27/19

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