FORM 1023-EZ for ADELPHIA INTERNATIONAL MISSIONS

Field Data
EIN 83-3387926
Case Number EO-2020275-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADELPHIA INTERNATIONAL MISSIONS
Organization’s Mailing Address 3422 LAKESIDE DRIVE
City ROCKWALL
State TX
ZIP 75087
Accounting period End 12
Primary contact name MELISSA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMEON MOORE
EXECUTIVE DIRECTOR
3422 LAKESIDE DRIVE
ROCKWALL TX 75087

Officer/Director/Trustee Two

MELISSA MOORE
SECRETARY/TREASURER
3422 LAKESIDE DRIVE
ROCKWALL TX 75087

Officer/Director/Trustee Three

ALFRED IRIZARRY
DIRECTOR OF EVANGELISM
3308 MELBOURNE RD S DR
INDIANAPOLIS IN 46228

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
Conducting Activities Outside of United States Yes
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 SIMEON MOORE
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/29/2020

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