FORM 1023-EZ for EVANGELISTIC MINISTRY RESTORATION CENTER

Field Data
EIN 84-4720188
Case Number EO-2020104-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EVANGELISTIC MINISTRY RESTORATION CENTER
Organization’s Mailing Address PO BOX 1681
City ELMIRAGE
State AZ
ZIP 85335
Accounting period End 12
Primary contact name BERENICE LEYVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERTO ZEPEDA
PRESIDENT
PO BOX 1681
EL MIRAGE AZ 85335

Officer/Director/Trustee Two

BERENICE LEYVA
VICE-PRESIDENT
PO BOX 1681
EL MIRAGE AZ 85335

Officer/Director/Trustee Three

CARMEN V LEYVA
TREASURER
PO BOX 1681
EL MIRAGE AZ 85335

Officer/Director/Trustee Four

ARNOLDO CELIS
DIRECTOR
12934 W VALENTINE AVE
EL MIRAGE AZ 85335

Officer/Director/Trustee Five

GERARDO GAXIOLA BARRERAS
DIRECTOR
17568 W BANFF LANE
SURPRISE AZ 85388

Organization’s website
Organization’s email EVANGELISTICMINISTRYCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BERENICE LEYVA
Signature Title VICE-PRESIDENT
Signature Date 4/9/2020

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