FORM 1023-EZ for ACCESS WORSHIP INTERNATIONAL INC
| Field | Data |
|---|---|
| EIN | 82-1876180 |
| Case Number | EO-2020274-000137 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ACCESS WORSHIP INTERNATIONAL INC |
| Organization’s Mailing Address | 2701 HODGES BLVD |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32224 |
| Accounting period End | 12 |
| Primary contact name | KEVIN GREEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KELANIE GLOECKLER
DIRECTOR
2128 EL LAGO WAY
JACKSONVILLE FL 32224
Officer/Director/Trustee Two
JEFF HENDERSON
DIRECTOR
7550 COLLINS RD
JACKSONVILLE FL 32244
Officer/Director/Trustee Three
PAUL ZINK
DIRECTOR
7820 JAMES ISLAND TRAIL
JACKSONVILLE FL 32256
Officer/Director/Trustee Four
BRIAN WAGES
DIRECTOR
279 WILLOW GREEN DR
ORANGE PARK FL 32072
Officer/Director/Trustee Five
JUSTIN DE VALERIO
DIRECTOR
12951 THE WOODS DR S
JACKSONVILLE FL 32246
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/15/2017 |
| 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: No 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KELANIE GLOECKLER |
| Signature Title | DIRECTOR |
| Signature Date | 9/28/2020 |
| EIN | 82-1876180 |
| Case Number | EO-2017271-000287 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ACCESS WORSHIP INTERNATIONAL INC |
| Organization’s Mailing Address | PO BOX 51149 |
| City | JACKSONVILLE BEACH |
| State | FL |
| ZIP | 32240 |
| Accounting period End | 12 |
| Primary contact name | KEVIN GREEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KELANIE GLOECKLER
DIRECTOR
2358 EAGLES NEST RD
JACKSONVILLE FL 32246
Officer/Director/Trustee Two
CARLOS BOSQUE
DIRECTOR
1020 BAISDEN RD
JACKSONVILLE FL 32218
Officer/Director/Trustee Three
PAUL ZINK
DIRECTOR
7820 JAMES ISLAND TRAIL
JACKSONVILLE FL 32256
Officer/Director/Trustee Four
BRIAN WAGES
DIRECTOR
279 WILLOW GREEN DR
ORANGE PARK FL 32073
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/15/2017 |
| 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: No 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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