FORM 1023-EZ for KAIROS INTERNATIONAL MINISTRY INC

Field Data
EIN 81-1675706
Case Number EO-2017038-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAIROS INTERNATIONAL MINISTRY INC
Organization’s Mailing Address 2744 CARAMBOLA CIR S
City COCONUT CREEK
State FL
ZIP 33066
Accounting period End 2
Primary contact name ERIC LUTTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELICA RAMOS
PRESIDENT
2744 CARAMBOLA CIRCLE SOUTH
COCONUT CREEK FL 33066

Officer/Director/Trustee Two

MARCO ANTONIO GARCIA
VICE PRESIDENT
2744 CARAMBOLA CIRCLE SOUTH
COCONUT CREEK FL 33066

Officer/Director/Trustee Three

BEATRIZ PIRES RAMOS
COO
2744 CARAMBOLA CIRCLE SOUTH
COCONUT CREEK FL 33066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2016
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: Yes
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 Yes
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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