FORM 1023-EZ for NEXT LEVEL NATION MINISTRIES INC

Field Data
EIN 46-1701613
Case Number EO-2018340-000509
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEXT LEVEL NATION MINISTRIES INC
Organization’s Mailing Address 611 S FT HARRISON AVE SUITE 162
City CLEARWATER
State FL
ZIP 33756
Accounting period End 12
Primary contact name EARNELL A SAMUEL JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARNELL SAMUEL JR
DPST
BOX 729
LARGO FL 33779

Officer/Director/Trustee Two

WAYNETTE SAMUEL
D
BOX 729
LARGO FL 33779

Officer/Director/Trustee Three

KIMBERLY BLACK
D
3794 VICTORIA ROAD
W PALM BEACH FL 33411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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 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 EARNELL SAMUEL JR
Signature Title DPST
Signature Date 12/4/18

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