FORM 1023-EZ for PUEBLO DE DIOS

Field Data
EIN 43-1889074
Case Number EO-2016196-000550
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUEBLO DE DIOS
Organization’s Mailing Address 6401 S SINCLAIR RD
City COLUMBIA
State MO
ZIP 65203
Accounting period End 12
Primary contact name JEFFERY BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFERY BELL
PRESIDENT
7312 N WADE SCHOOL RD APT 2
COLUMBIA MO 65202

Officer/Director/Trustee Two

GRACIELA MADRID
SECRETARY
1501 VANDIVER DR LOT 90
COLUMBIA MO 65201

Officer/Director/Trustee Three

CARLOS SANCHEZ-PEREZ
TREASURY
1001 SHEPARD
BOONVILLE MO 65233

Officer/Director/Trustee Four

MARIO MARTINEZ
BOARD MEMBER
3501 NEW HAVEN RD LOT 73
COLUMBIA MO 65201

Officer/Director/Trustee Five

AQUILINO VAZQUEZ
BOARD MEMBER
3909 ST CHARLES RD LOT 113
COLUMBIA MO 65203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2000
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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