FORM 1023-EZ for GOOD SAMARITAN MINISTERIOS DE IMPACTO

Field Data
EIN 45-5466911
Case Number EO-2014232-000016
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD SAMARITAN MINISTERIOS DE IMPACTO
Organization’s Mailing Address 1330 W INDIAN TRAIL APT 10
City AURORA
State IL
ZIP 60506-6023
Accounting period End 6
Primary contact name MICHELE BERRY-NUNEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSE NUNEZ
PRESIDENT
1330 W INDIAN TRAIL APT 10
AURORA IL 60506-6023

Officer/Director/Trustee Two

MICHELE BERRY-NUNEZ
TREASURER
1330 W INDIAN TRAIL APT 10
AURORA IL 60506-6023

Officer/Director/Trustee Three

DAVID SANCHEZ
VICE-PRESIDENT
76 ROBIN RD
CARPENTERSVILLE IL 60110-1660

Officer/Director/Trustee Four

MARIA MATA
SECRETARY
542 N WESTGATE DRIVE
AURORA IL 60506-3450

Officer/Director/Trustee Five

OMAR SANDOVAL
BOARD MEMBER
6235 S KNOX AVE UNIT H
CHICAGO IL 60629-5495

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2012
Organization Incorporation State IL
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 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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