FORM 1023-EZ for PLEASANT GROVE MISSIONARY BAPTIST CHURCH

Field Data
EIN 45-3126869
Case Number EO-2017188-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEASANT GROVE MISSIONARY BAPTIST CHURCH
Organization’s Mailing Address 1401 EVERGREEN AVE
City JACKSONVILLE
State FL
ZIP 32206
Accounting period End 12
Primary contact name TRACIE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEROY LOVE
PRES
6711 ROYAL LEAF LANE
JACKSONVILLE FL 32244

Officer/Director/Trustee Two

CHARLEEN LOVE
SEC
6711 ROYAL LEAF LANE
JACKSONVILLE FL 32244

Officer/Director/Trustee Three

TRACIE WILLIAMS
DIRECTOR
1523 CHAFFEE RD
JACKSONVILLE FL 32221

Organization’s website
Organization’s email T.NWILLIAMS121@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2011
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
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 No
Benefit of College Yes
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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