FORM 1023-EZ for INSTITUTE OF LEADERSHIP AND MINISTRY INC

Field Data
EIN 83-1090549
Case Number EO-2018211-000477
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSTITUTE OF LEADERSHIP AND MINISTRY INC
Organization’s Mailing Address PO BOX 1324
City BRONX
State NY
ZIP 10471
Accounting period End 12
Primary contact name HECTOR ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR HATTIE TIBURCIO
PRESIDENT
103 24 ROOSEVELT AVE SUITE 203
QUEENS NY 11368

Officer/Director/Trustee Two

KARI SAMANTHA VELEZ
SECRETARY
6030 BACARRA LANE APT 1G
RALEIGH NC 27606

Officer/Director/Trustee Three

JAIME TAMAY
TREASURER
103-24 ROOSEVELT AVENUE
QUEENS NY 11368

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/18
Organization Incorporation State NY
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: 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 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 DR HATTIE TIBURCIO
Signature Title PRESIDENT
Signature Date 7/28/18

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