FORM 1023-EZ for IGLESIA HISPANA BETHESDA

Field Data
EIN 46-5050298
Case Number EO-2018207-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IGLESIA HISPANA BETHESDA
Organization’s Mailing Address 300 COLLEGE ST
City LAFAYETTE
State TN
ZIP 37083
Accounting period End 12
Primary contact name DORE HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORE HERNANDEZ
PASTOR
120 BONITA AVE
GALLATIN TN 37066

Officer/Director/Trustee Two

ROXANA HERNANDEZ
ASSISTANT PASTOR
120 BONITA AVE
GALLATIN TN 37066

Officer/Director/Trustee Three

JAIME BERNAL
TREASURY
125 PLEASANT SHADE HWY
CARTHAGE TN 37030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/14
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
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 Yes
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 DORE HERNANDEZ
Signature Title PASTOR
Signature Date 7/24/18

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