FORM 1023-EZ for FELLOWSHIP RESCUE MISSION INC

Field Data
EIN 47-4670527
Case Number EO-2015272-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FELLOWSHIP RESCUE MISSION INC
Organization’s Mailing Address 13515 N US HWY 301
City THONOTOSASSA
State FL
ZIP 33592
Accounting period End 12
Primary contact name BART L DENNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL GROVER
CHAIRMAN OF THE BOARD
718 JUNE LAKE LN
BRANDON FL 33510-2982

Officer/Director/Trustee Two

BART DENNY
PRESIDENT
3206 DUCHESS CT
PLANT CITY FL 33565-5602

Officer/Director/Trustee Three

TIMOTHY TRUJILLO
VICE PRESIDENT
13932 METHODIST CHURCH RD
DOVER FL 33527-4629

Officer/Director/Trustee Four

GARRY HOFFMAN
SECRETARY
1005 ROCHELLE LN
VALRICO FL 33594-6634

Officer/Director/Trustee Five

RANDY TEEGARDEN
TREASURER
31200 CRESTMONT CT
WESLEY CHAPEL FL 33543-6852

Organization’s website WWW.MISSIONTHONO.ORG
Organization’s email INFO@MISSIONTHONO.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 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
Signature Title
Signature Date

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