FORM 1023-EZ for BRAZILIAN ASSEMBLY OF GOD OF WATERBURY

Field Data
EIN 26-2931437
Case Number EO-2015365-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAZILIAN ASSEMBLY OF GOD OF WATERBURY
Organization’s Mailing Address 20 PEARL LAKE ROAD
City WATERBURY
State CT
ZIP 06706-2523
Accounting period End 12
Primary contact name RENATO CARVALHO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RENATO CARVALHO
PRESIDENT
172 ATWOOD AVE
WATERBURY CT 06705-1505

Officer/Director/Trustee Two

JOAQUIM BUXO
TREASURER
274 HIGH STREET
NAUGATUCK CT 06770-4640

Officer/Director/Trustee Three

MARLI CAMPOS
VICE PRESIDENT
274 HIGH STREET
NAUGATUCK CT 06770-4640

Officer/Director/Trustee Four

MARIA LUCIA DE BRITO
SECRETARY
37 OLIVE STREET
NAUGATUCK CT 06770-4640

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2008
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
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 Yes
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
Signature Title
Signature Date

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