FORM 1023-EZ for FIVE SEVENTEEN MINISTRIES

Field Data
EIN 84-3158501
Case Number EO-2020195-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIVE SEVENTEEN MINISTRIES
Organization’s Mailing Address 11308 LEMAY DRIVE
City CLERMONT
State FL
ZIP 34711-8055
Accounting period End 12
Primary contact name MELISSA BOLLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA BOLLE
PRESIDENT
11308 LEMAY DRIVE
CLERMONT FL 34711-8055

Officer/Director/Trustee Two

KATELYN AVILA
VICE PRESIDENT
5620 JOHNS LANDING WAY
OAKLAND FL 34787-8984

Officer/Director/Trustee Three

JOHNNIE NEAL
ADVISOR
982 GLENMEADOW DRIVE
WINTER GARDEN FL 34787-2219

Officer/Director/Trustee Four

MEGAN NEAL
ADVISOR
982 GLENMEADOW DRIVE
WINTER GARDEN FL 34787-2219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2020
Organization Incorporation State FL
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 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 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 MELISSA BOLLE
Signature Title PRESIDENT
Signature Date 6/8/2020

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