FORM 1023-EZ for HOUSE OF DAVID WORSHIP CENTER OF CLEVELAND

Field Data
EIN 47-3994118
Case Number EO-2017100-000480
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF DAVID WORSHIP CENTER OF CLEVELAND
Organization’s Mailing Address 12200 FAIRHIL RD
City CLVELAND
State OH
ZIP 44120
Accounting period End 12
Primary contact name TIMOTHY TYLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY TYLER
CHAIRMAN
21219 LAKESHORE BLVD
EUCLID OH 44123

Officer/Director/Trustee Two

JACQUELINE JOHNSON
ADMINISTRATOR
8611 MAYFIELD RD APT 893
MAYFIED HEIGHTS OH 44124

Officer/Director/Trustee Three

ELLIOTT SNEARL
OFFICER
12100 INGOMAR
CLEVELAND OH 44108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2017
Organization Incorporation State OH
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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