FORM 1023-EZ for HOLY HABITATION MINISTRIES

Field Data
EIN 27-3796421
Case Number EO-2015364-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLY HABITATION MINISTRIES
Organization’s Mailing Address 3579 S BASCOM AVE 6
City CAMPBELL
State CA
ZIP 95008-7017
Accounting period End 12
Primary contact name ANDRE ROBLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDRE ROBLES
REVEREND
3579 S BASCOM AVE 6
CAMPBELL CA 95008-7017

Officer/Director/Trustee Two

ANA ROBLES
CFO
3579 S BASCOM AVE 6
CAMPBELL CA 95008-7017

Organization’s website LIVEHOLY.ORG
Organization’s email ANDRE@LIVEHOLY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2009
Organization Incorporation State CA
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: 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 Yes
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 Yes
Disaster relief assistance Yes
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
Signature Title
Signature Date

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