FORM 1023-EZ for DRY BONES COME ALIVE MINISTRY INTERNATIONAL INC

Field Data
EIN 82-1233162
Case Number EO-2017115-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRY BONES COME ALIVE MINISTRY INTERNATIONAL INC
Organization’s Mailing Address 12311 KENSINGTON LAKES DR UNIT 1905
City JACKSONVILLE
State FL
ZIP 32246
Accounting period End 12
Primary contact name LARRY TODD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY TODD
PRESIDENT, DIRECTOR
12311 KENSINGTON LAKES DR UNIT 1905
JACKSONVILLE FL 32246

Officer/Director/Trustee Two

MICHAEL HOLLIDAY
VICE PRESIDENT, DIRECTOR
1800 THE GREENS WAY STE 1501
JACKSONVILLE FL 32250

Officer/Director/Trustee Three

SCOTT DUNCKEL
SECRETARY, DIRECTOR
181 MAGNOLIA ST
ATLANTIC BEACH FL 32233

Officer/Director/Trustee Four

JEFF DICKINSON
TREASURER, DIRECTOR
213 33RD AVE S
JACKSONVILLE BEACH FL 32250

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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