FORM 1023-EZ for NEWLIFE POWERHOUSE KINGDOM BUILDINGOUTREACH INC

Field Data
EIN 84-2397384
Case Number EO-2019207-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEWLIFE POWERHOUSE KINGDOM BUILDINGOUTREACH INC
Organization’s Mailing Address 2519 49TH STREET NORTH
City SAINT PETERSBURG
State FL
ZIP 33710
Accounting period End 12
Primary contact name TINEKA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE HAYNES
PRESIDENT
4123 WHITING DRIVE SE
ST. PETE FL 33705

Officer/Director/Trustee Two

DORAS THOMAS
VICE PRESIDENT
4271 TARPON DRIVE SE
ST. PETE FL 33705

Officer/Director/Trustee Three

TINEKA WILSON
SECRETARY
7415 ASHWOOD DRIVE
PORT RICHEY FL 34668

Officer/Director/Trustee Four

TIFFANY PAGE
ADMINISTRATOR
2529 DAKOTA CLIFF STREET
RUSKIN FL 33570

Officer/Director/Trustee Five

ISSAC BOSTIC JR
TREASURE
1575 52ND AVENUE NORTH
ST. PETE FL 33703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J33 - Sheltered Remunerative Employment, Work Activity Center N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 KATIE HAYNES
Signature Title PRESIDENT
Signature Date 7/24/19

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