FORM 1023-EZ for 3RD DAY CHURCH SHALOM INC

Field Data
EIN 82-4438483
Case Number EO-2019121-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 3RD DAY CHURCH SHALOM INC
Organization’s Mailing Address 1859 MANITOBA CT
City KISSIMMEE
State FL
ZIP 34759
Accounting period End 12
Primary contact name RAMIL RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAMIL RODRIGUEZ
PRESIDENT
1859 MANITOBA CT
KISSIMMEE FL 34759

Officer/Director/Trustee Two

RUTH ORTIZ
VICE PRESIDENT
1859 MANITOBA CT
KISSIMMEE FL 34759

Officer/Director/Trustee Three

ARIEL VAZQUEZ
SECRETARY
1270 NE 178TH STREET
NORTH MIAMI BEACH FL 33162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 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 RAMIL RODRIGUEZ
Signature Title PRESIDENT
Signature Date 4/29/19

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