FORM 1023-EZ for MICLIPCI MINISTRIES INC

Field Data
EIN 81-1863626
Case Number EO-2017208-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICLIPCI MINISTRIES INC
Organization’s Mailing Address 2439 MITFORD COURT
City DACULA
State GA
ZIP 30019
Accounting period End 12
Primary contact name MYRIAM IVETTE CEVALLOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MYRIAM IVETTE CEVALLOS
PRESIDENT
2439 MITFORD COURT
DACULA GA 30019

Officer/Director/Trustee Two

PIERO ARMANDO CEVALLOS
DIRECTOR
2439 MITFORD COURT
DACULA GA 30019

Officer/Director/Trustee Three

GAMALIEL GOMEZ
DIRECTOR
1433 W PROSPECT DR
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Four

MYRIAM FERNANDEZ
DIRECTOR
BO MATON ABAJO CARR14 KM 62 5
CAYEY PR 00736

Officer/Director/Trustee Five

CARLOS MANUEL
DIRECTOR
BO MATON ABAJO CARR14 KM 62 5
CAYEY GA 30019

Organization’s website
Organization’s email MYRIAM_CEVALLOS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2016
Organization Incorporation State GA
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 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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