FORM 1023-EZ for LIVING BREAD MINISTRY INC

Field Data
EIN 83-3191559
Case Number EO-2019036-000441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING BREAD MINISTRY INC
Organization’s Mailing Address 4380 58 AVE
City VERO BEACH
State FL
ZIP 32967
Accounting period End 12
Primary contact name KENNETH MOTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH MOTE
DIRECTOR
4380 58TH AVE
VERO BEACH FL 32967

Officer/Director/Trustee Two

NINA MOTE
VICE PRESIDENT
4380 58TH AVE
VERO BEACH FL 32967

Officer/Director/Trustee Three

JAMES FRITZINGER
SECRETARY
3746 61 WAY N
ST. PETERSBURG FL 33710

Officer/Director/Trustee Four

KENNETH MOTE JR
TRESURER
1340 MAYO RD
ALTOONA AL 35952

Officer/Director/Trustee Five

ANGELA MAHAFFEY
ACTING SECRETARY
414 STOCKTON RD
FOUNTAIN INN SC 29644

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/18
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENNETH MOTE
Signature Title DIRECTOR
Signature Date 1/17/19

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