FORM 1023-EZ for FAITH PRESBYTERIAN AFFORDABLE HOUSING INC

Field Data
EIN 81-4793742
Case Number EO-2017318-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAITH PRESBYTERIAN AFFORDABLE HOUSING INC
Organization’s Mailing Address 4544 CORONADO PARKWAY
City CAPE CORAL
State FL
ZIP 33904-7335
Accounting period End 12
Primary contact name JOHN JACOBSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN JACOBSEN
PRESIDENT
347 BAYSHORE DRIVE
CAPE CORAL FL 33904-5806

Officer/Director/Trustee Two

BILL SHALLBETTER
TREASURER
2552 ASHBURN CIRCLE
CAPE CORAL FL 33991

Officer/Director/Trustee Three

ELNA ALBANO
SECRETARY
1227 SW 52ND TERRACE
CAPE CORAL FL 33914-7066

Officer/Director/Trustee Four

DIANA FREDRICKS
BOARD MEMBER
16453 ASHBURY DRIVE
CAPE CORAL FL 33908-3662

Officer/Director/Trustee Five

DAVE BARTON
BOARD MEMBER
1189 KEMENA ST APT 100
FORT MYERS FL 33912-9004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L22 - Senior Citizens' Housing/Retirement Communities
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
Signature Title
Signature Date

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