FORM 1023-EZ for HOLY SPIRIT HEALING AND EVANGELIZATION INC

Field Data
EIN 85-2306428
Case Number EO-2020314-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLY SPIRIT HEALING AND EVANGELIZATION INC
Organization’s Mailing Address 5520 NW 69TH LANE
City GAINESVILLE
State FL
ZIP 32653
Accounting period End 12
Primary contact name DR MARY M SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY SHAW
PRESIDENT DIRECTOR
5520 NW 69TH LANE
GAINESVILLE FL 32653

Officer/Director/Trustee Two

RONALD QUISLING
SECRETARY DIRECTOR
1420 NW 49TH TERRACE
GAINESVILLE FL 32653

Officer/Director/Trustee Three

LINDA CAVALLO
TREASURER DIRECTOR
7543 CLIFF COTTAGE COURT
JACKSONVILLE FL 32244

Organization’s website
Organization’s email PEACEOFJESUS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 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 MARY SHAW
Signature Title PRESIDENT DIRECTOR
Signature Date 11/5/2020

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