FORM 1023-EZ for THE NEW JERUSALEM INTERNATIONAL MINISTRIES INC

Field Data
EIN 81-1222532
Case Number EO-2016102-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE NEW JERUSALEM INTERNATIONAL MINISTRIES INC
Organization’s Mailing Address 411 DAYTON ROAD APT 226
City CHAMPLIN
State MN
ZIP 55316
Accounting period End 12
Primary contact name DIEPIRIYE FUBARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIEPIRIYE FUBARA
PRESIDENT/DIRECTOR
411 DAYTON RD APT 226
CHAMPLIN MN 55316

Officer/Director/Trustee Two

COLLINS ANYA
SECRETARY/DIRECTOR
1423 AQUILA AVE
GOLDEN VALLEY MN 55442

Officer/Director/Trustee Three

ANGELA ATIVIE
TREASURER/DIRECTOR
5762 TRENTON LN N
PLYMOUTH MN 55442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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
Signature Title
Signature Date

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