FORM 1023-EZ for PENTECOSTAL FELLOWSHIP OF THE HOLYSPIRIT

Field Data
EIN 45-3638823
Case Number EO-2015131-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PENTECOSTAL FELLOWSHIP OF THE HOLYSPIRIT
Organization’s Mailing Address 1215 S 10TH ST
City SAINT LOUIS
State MO
ZIP 63104
Accounting period End 12
Primary contact name SALVATOR NZAMBIMANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MINANI TITO
PRESIDENT
1215 S 10TH ST
SAINT LOUIS MO 63104

Officer/Director/Trustee Two

SALVATOR NZAMBIMANA
VICE PRESIDENT
1445 PARK AVE APT A
SAINT LOUIS MO 63104

Officer/Director/Trustee Three

HAVYARIMANA THOMAS
TREASURER
1223 HODIAMONT AVE
SAINT LOUIS MO 63112

Officer/Director/Trustee Four

ADAM NDIHOKUBWAYO
SECRETARY
5050 S GRAND
SAINT LOUIS MO 63111

Officer/Director/Trustee Five

NZEYIMANA BRIGITTE
DIRECTOR
1024 BATES ST
SAINT LOUIS MO 63111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2011
Organization Incorporation State MO
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 No
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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