FORM 1023-EZ for REHOBOTH INTERNATIONAL

Field Data
EIN 47-1710196
Case Number EO-2016172-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REHOBOTH INTERNATIONAL
Organization’s Mailing Address 1209 SAM LIONS TRL
City MARTINSVILLE
State VA
ZIP 24112
Accounting period End 12
Primary contact name FRANK CORREDERA-DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANK CORREDERA
PRESIDENT/DIRECTOR
1209 SAM LIONS TRAIL
MARTINSVILLE VA 24112

Officer/Director/Trustee Two

TIMOTHY KLEIN
TREASURER DIRECTOR
705 EAST HAZELCROFT AVE
NEW CASTLE PA 16105

Officer/Director/Trustee Three

THEODORE BURCH
DIRECTOR
90 SOUTH MAIN STREET
DOLGEVILLE NY 13329

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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 Yes
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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