FORM 1023-EZ for ISLA MUEJURES MISSION INC

Field Data
EIN 81-2962014
Case Number EO-2016250-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ISLA MUEJURES MISSION INC
Organization’s Mailing Address PO BOX 268
City CAVE SPRING
State GA
ZIP 30124
Accounting period End 12
Primary contact name JASON WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON WILLIS
DIRECTOR
PO BOX 268
CAVE SPRING GA 30124

Officer/Director/Trustee Two

RICK JENNINGS
BOARD OF TRUSTEE
232 MOUNTAIN HOME LOOP
CEDARTOWN GA 30125

Officer/Director/Trustee Three

JARROD ROBERTS
BOARD OF TRUSTEE
9 LARKWOOD
ROME GA 30161

Officer/Director/Trustee Four

MATT HAYES
BOARD OF TRUSTEE
14 MISTY RIDGE DR
SILVER CREEK GA 30173

Officer/Director/Trustee Five

KIRK JARRETT
BOARD OF TRUSTEE
256 WILLIAMS WAY SW
CALHOUND GA 30701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State GA
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: No
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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