FORM 1023-EZ for IN JESUS NAME LAS VEGAS

Field Data
EIN 83-1408458
Case Number EO-2018253-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IN JESUS NAME LAS VEGAS
Organization’s Mailing Address 56 ISLAND COURSE AVE
City LAS VEGAS
State NV
ZIP 89148
Accounting period End 12
Primary contact name NAOMI PURDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAOMI PURDY
PRESIDENT
56 ISLAND COURSE AVE
LAS VEGAS NV 89148

Officer/Director/Trustee Two

VINETTE FERRARO
TREASURER
PO BOX401743
LAS VEGAS NV 89140

Officer/Director/Trustee Three

SANDRA LEWIS
BOARD CHAIR
2200 SOUTH FORT APACHE 1024
LAS VEGAS NY 89117

Officer/Director/Trustee Four

LETICIA SEEDORF
SECRETARY
10523 REALM WAY
LAS VEGAS NV 89135

Officer/Director/Trustee Five

LISA MORENO
BOARD MEMBER
1097 CLAIRVILLE STREET
LAS VEGAS NV 89110

Organization’s website INJESUSNAMEFREECLINICS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G90 - Medical Disciplines
Organization’s purpose Charitable: Yes
Religious: No
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 NAOMI PURDY
Signature Title PRESIDENT
Signature Date 9/6/18

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