FORM 1023-EZ for MISSION FOR SALVATION AND HEALTH TOCOMMUNITIES IN DISTRESS
| Field | Data |
|---|---|
| EIN | 47-4323031 |
| Case Number | EO-2015362-000246 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MISSION FOR SALVATION AND HEALTH TOCOMMUNITIES IN DISTRESS |
| Organization’s Mailing Address | 4405 INTERNATIONAL CT UNIT G7 |
| City | BERRIEN SPRINGS |
| State | MI |
| ZIP | 49103 |
| Accounting period End | 12 |
| Primary contact name | HENRYCLAUDE ANTOINE ADELSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
HENRYCLAUDE ANTOINE ADELSON
CEO/PRESIDENT
4405 INT CT UNIT G7
BERRIEN SPRINGS MI 49103
Officer/Director/Trustee Two
ANNE IZQUIERDO
PUBLIC RELATIONS DIRECTOR
141 BAYSIDE LANE
TONEY AL 35773
Officer/Director/Trustee Three
SANOU BOUBAKAR
ADVISOR
8975 OLD US 31 SECTION CHRISTIAN MI
BERRIEN SPRINGS MI 49103
Officer/Director/Trustee Four
ELCIE JOSEPH A
SECRETARY
PO BOX 195
BERRIEN SPRINGS MI 49103
Officer/Director/Trustee Five
BASTIEN JOSEPH
TREASURER
1800 NW 47TH AVE
LAUDERHILL FL 33313
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/2015 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | Yes |
| 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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