FORM 1023-EZ for SAMARITA MINISTRIES INC

Field Data
EIN 81-5388181
Case Number EO-2017173-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMARITA MINISTRIES INC
Organization’s Mailing Address 804 MENDOZA DRIVE
City KISSIMMEE
State FL
ZIP 34758-3411
Accounting period End 12
Primary contact name MARYSE NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARYSE NELSON
PRESIDENT
804 MENDOZA DRIVE
KISSIMMEE FL 34758-3411

Officer/Director/Trustee Two

HUDSON JULES
VP OF SPIRITUAL AFFAIRS
759 PARIS DRIVE
KISSIMMEE FL 34759-7016

Officer/Director/Trustee Three

MARIELLE PIERROT
VP OF COMMUNITY AFFAIRS
859 FRANCONVILLE CT
KISSIMMEE FL 34759

Officer/Director/Trustee Four

MAYA NELSON
SECRETARY
804 MENDOZA DRIVE
KISSIMMEE FL 34758-3411

Officer/Director/Trustee Five

SHANA NELSON
TREASURER
804 MENDOZA DRIVE
KISSIMMEE FL 34758-3411

Organization’s website MYSAMARITA.COM
Organization’s email MYSAMARITA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2017
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: 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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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