FORM 1023-EZ for NEW BREATH OF LIFE MINISTRIES

Field Data
EIN 85-4289916
Case Number EO-2021119-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW BREATH OF LIFE MINISTRIES
Organization’s Mailing Address 11528 FOSTER RD
City NORWALK
State CA
ZIP 90650
Accounting period End 12
Primary contact name JORGE ALCANTAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORGE ALCANTAR
PRESIDENT & DIRECTOR
3231 ROWENA DR
CORONA CA 92882

Officer/Director/Trustee Two

ANDREA ALCANTAR
TREASURER & DIRECTOR
3231 ROWENA DR
CORONA CA 92882

Officer/Director/Trustee Three

PEGGY TADLOCK
SECRETARY & DIRECTOR
11528 FOSTER RD
NORWALK CA 90650

Officer/Director/Trustee Four

JIM TADLOCK
DIRECTOR
3122 W DELAWARE CT
VISALIA CA 93291

Organization’s website
Organization’s email NEWBOLMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2020
Organization Incorporation State CA
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 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 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 JORGE ALCANTAR
Signature Title PRESIDENT & DIRECTOR
Signature Date 4/27/2021

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