FORM 1023-EZ for CLEANSING FAITH INC

Field Data
EIN 82-1209193
Case Number EO-2017130-000319
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEANSING FAITH INC
Organization’s Mailing Address 19020 NW 23RD AVE
City MIAMI GARDENS
State FL
ZIP 33056-2606
Accounting period End 4
Primary contact name LASHAAN SIMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LASHAAN SIMONS
PRESIDENT/CEO
19020 NW 23RD AVE
MIAMI GARDENS FL 33056-2606

Officer/Director/Trustee Two

LOREAL WILKINSON
TREASURER
8621 NW 191ST STREET
MIAMI FL 33055

Officer/Director/Trustee Three

AUSTIN SIMONS
CHAIRPERSON/VP
119 WESTCHESTER WAY
BATTLECREEK MI 49015

Officer/Director/Trustee Four

AJONTE SIMONS
DIRECTOR
2605 NW 108 STREET
MIAMI FL 33167

Officer/Director/Trustee Five

VALERIE ANDRE
SECRETARY
15111 NE 6TH AVE
MIAMI FL 33162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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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