FORM 1023-EZ for NEW TIBERIA MISSONARY BAPTIST CHURCH

Field Data
EIN 26-4604433
Case Number EO-2018319-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW TIBERIA MISSONARY BAPTIST CHURCH
Organization’s Mailing Address 3808 W POLK ST
City CHICAGO
State IL
ZIP 60624
Accounting period End 12
Primary contact name DEVELL JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVELL JOHNSON
CHAIR MAN
1510 S ALBANY
CHICAGO IL 60623

Officer/Director/Trustee Two

STEPHANIE MARTIN
TRUSTEE
1307 N BELL
CHICAGO IL 60622

Officer/Director/Trustee Three

JAQULINE CHRISS
TRUSTEE
2505 N RUTHERFORD AVE
CHICAGO IL 60707

Officer/Director/Trustee Four

RODNEY STEPHEN
TRUSTEE
324 APPLING LANE
BOLINGBROOK IL 60440

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/13
Organization Incorporation State IL
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 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 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 DEVELL JOHNSON
Signature Title CHAIR MAN
Signature Date 11/12/18

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