FORM 1023-EZ for BON SAMARITAN IMMACULEE CONCEPTIONINC
| Field | Data |
|---|---|
| EIN | 84-4980132 |
| Case Number | EO-2020087-000159 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BON SAMARITAN IMMACULEE CONCEPTIONINC |
| Organization’s Mailing Address | 436 NW 121 STREET |
| City | NORTH MIAMI |
| State | FL |
| ZIP | 33168 |
| Accounting period End | 12 |
| Primary contact name | GILSON BLANC |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GILSON BLANC
PRESIDENT
436 NW 121 STREET
NORTH MIAMI FL 33168
Officer/Director/Trustee Two
ANTONINE SERAPHIN
DIRECTOR
761 NW 48 STREET
PLANTATION FL 33317
| Organization’s website | N/A |
|---|---|
| Organization’s email | GILSONBLANC1969@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/25/2018 |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | 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 | GILSON BLANC |
| Signature Title | PRESIDENT |
| Signature Date | 3/25/2020 |
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