FORM 1023-EZ for NEW BIRTH VISION DELIVERANCE INC

Field Data
EIN 81-2285396
Case Number EO-2019246-000464
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW BIRTH VISION DELIVERANCE INC
Organization’s Mailing Address 3524 OKEECHOBEE RD
City FORT PIERCE
State FL
ZIP 34947
Accounting period End 12
Primary contact name BOB MIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOB MIXON
PRESIDENT
2572 SENECA AVE
FORT PIERCE FL 34946

Officer/Director/Trustee Two

JEROME JOHNSON
TREASURER
2572 SENECA AVE
FORT PIERCE FL 34946

Officer/Director/Trustee Three

CARREN MIXON
SECRETARY
507 WISTERIA AVE
FORT PIERCE FL 34950

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/16
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 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 No
Correctness Declaration Yes
Signature Name BOB MIXON
Signature Title PRESIDENT
Signature Date 8/31/19

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