FORM 1023-EZ for ANTIOCH MISSIONS INTERNATIONAL INC

Field Data
EIN 47-4991186
Case Number EO-2018303-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANTIOCH MISSIONS INTERNATIONAL INC
Organization’s Mailing Address 10252 MILLS AVE
City WHITTIER
State CA
ZIP 90604
Accounting period End 12
Primary contact name DORRI ROBERTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD SMITH
CEO
10252 MILLS AVE
WHITTIER CA 90604

Officer/Director/Trustee Two

VANESSA SMITH
SECRETARY
10252 MILLS AVE
WHITTIER CA 90604

Officer/Director/Trustee Three

DORRI ROBERTSON
TREASURER
10252 MILLS AVE
WHITTIER CA 90604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/15
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DORRI ROBERTSON
Signature Title TREASURER
Signature Date 10/28/18

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