FORM 1023-EZ for JEREMIAHS PLACE

Field Data
EIN 46-3860464
Case Number EO-2017235-000466
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEREMIAHS PLACE
Organization’s Mailing Address 7709 APACHE AVE NE
City ALBUQUERQUE
State NM
ZIP 87110
Accounting period End 12
Primary contact name GILBERTO U SILVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GILBERTO SILVA
PRESIDENT
7709 APACHE AVE NE
ALBUQUERQUE NM 87110

Officer/Director/Trustee Two

ELIZABETH SILVA
VICE PRESIDENT
7709 APACHE AVE NE
ALBUQUERQUE NM 87110

Officer/Director/Trustee Three

PHYLLIS CHAVEZ
TREASURE
1808 SHIRLANE PLACE NE
ALBUQUERQUE NM 87112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2013
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date
EIN 46-3860464
Case Number EO-2015026-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEREMIAHS PLACE
Organization’s Mailing Address 7709 APACHE AVE NE
City ALBUQUERQUE
State NM
ZIP 87110
Accounting period End 12
Primary contact name GILBERTO U SILVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GILBERTO U SILVA
PRESIDENT
7709 APACHE AVE NE
ALBUQUERQUE NM 87110

Officer/Director/Trustee Two

ELIZABETH SILVA
VICE PRESIDENT
7709 APACHE AVE NE
ALBUQUERQUE NM 87110

Officer/Director/Trustee Three

PHYLIS CHAVEZ
TREASURE
1808 SHIRLANE PLACE NE
ALBUQUERQUE NM 87112

Officer/Director/Trustee Four

JOCELYN BRAZFIELD
SECRETARY
559 SKYTOWER STREET SW
ALBUQUERQUE NM 87121

Officer/Director/Trustee Five

JIM OLAIZ
DIRECTOR
1993 LOMA DRIVE
CAMARILLO CA 93010

Organization’s website JEREMIAHSPLACENM
Organization’s email JEREMIAHSPLACE@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/2013
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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