FORM 1023-EZ for AVIVA MISSION WORLD INC

Field Data
EIN 86-1596044
Case Number EO-2021078-000926
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVIVA MISSION WORLD INC
Organization’s Mailing Address 4720 KIDDLE LANE
City MONROE
State NY
ZIP 28110
Accounting period End 12
Primary contact name DARRELL H BAUCOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HILDA JIMENEZ PADRON
PRESIDENT
4720 KIDDLE LANE
MONROE NC 28110

Officer/Director/Trustee Two

OSMEL JIMENEZ
VICE PRESIDENT
4720 KIDDLE LANE
MONROE NC 28110

Officer/Director/Trustee Three

SCOTT YORK
VICE PRESIDENT
2705 LAWYERS ROAD EAST
MONROE NC 28110

Officer/Director/Trustee Four

DARRELL BAUCOM
SECRETARY
1704 SIKES MILL ROAD
MONROE NC 28110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 No
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 DARRELL BAUCOM
Signature Title SECRETARY
Signature Date 1/21/2021

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