FORM 1023-EZ for THEMELIOS TEMPLE MINISTRIES INTERNATIONAL INC

Field Data
EIN 47-4249270
Case Number EO-2018171-000511
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THEMELIOS TEMPLE MINISTRIES INTERNATIONAL INC
Organization’s Mailing Address 16051 NE 5TH AVENUE
City NORTH MIAMI BEACH
State FL
ZIP 33162
Accounting period End 12
Primary contact name GLENMORE MCKENZIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLENMORE MCKENZIE
PRESIDENT
16051 NE 5TH AVENUE
NORTH MIAMI BEACH FL 33162

Officer/Director/Trustee Two

MELLODY WILSON
SECRETARY
1001 SW 29TH WAY
FORT LAUDERDALE FL 33312

Officer/Director/Trustee Three

FERN KELLY
TREASURER
1001 SW 29TH WAY
FORT LAUDERDALE FL 33312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/15
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 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 GLENMORE MCKENZIE
Signature Title PRESIDENT
Signature Date 6/6/18

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