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The first Adventist pastor to arrive in Costa Rica was Frank Hutchins. He was the first resident worker who pastored the coast of the Central American Caribbean in the late 19th and early 20th centuries. With the support of his wife, Cora, Frank worked as a dentist, colporteur, and pastor.

The Cuba Adventist Theological Seminary (SETAC) is the only educational institution of the Adventist church in Cuba. It accepts students from the conferences and missions of the Cuba Union Conference who wish to obtain a bachelor’s degree in theology. In addition, students come from other Latin American countries and from other continents, with representatives from Mexico, Belize, Nicaragua, Guatemala, Honduras, El Salvador, Panama, Ecuador, Bolivia, Venezuela, Chile, Peru, Canada, the United States, Puerto Rico, Haiti, Congo, and Angola.

​Formerly under the Venezuela-Antilles Union Mission, Curacao Conference covers the island state of Curacao. Currently it is part of the Dutch Caribbean Union Mission in the Inter-American Division of the Seventh-day Adventists.

​James Gershom Dasent was a pioneering Antiguan evangelist, pastor, and church administrator—among the first from the eastern Caribbean at the turn of the 20th century—who was invited to work as district pastor in the United States, arriving in 1910. Dasent was among the few converts to Seventh-day Adventism in the early 20th century in Antigua, British West Indies. He became one of the earliest Adventist literature evangelists and ministers of African descent in the Caribbean.

Máximo De Gracia Palacio was a pioneer, an evangelist, an outstanding preacher, and the founder of more than 12 churches in Panama.

​Del Amanecer Conference covers the provinces of Santiago de Cuba and Guantánamo on the eastern side of the island. This area has been referred to as “the high eastern province” for its mountains, which cover a major part of the conference’s territory.

​Alejandro Delgado Alonso was president of the National Association of the Seventh-day Adventist Church in Cuba.

In 1901, two Sabbath-keepers from Antigua took up residence in Dominica and raised up a small company of Sabbath believers. Between 1901 and 1975, the Seventh-day Adventist membership crawled from a very small group to 1,089. In 1991, it increased to 3,376.

​Dominican Union Conference was organized in 1994 and reorganized in 2012. It is part of the Inter-American Division of Seventh-day Adventists. Its headquarters is at Ensanche, Piantini, Santo Domingo, Dominican Republic.

​Formerly part of Venezuela-Antilles Union, Dutch Caribbean Union Mission was organized 2015 and reorganized 2017. It covers the following territory: Aruba, Bonaire, and Curacao; comprising the Curacao Conference; and the Aruba, and Bonaire Missions.

​The eastern Caribbean comprised of the numerous Leeward and Windward Islands, were among the early places outside of the U.S.A. that Seventh-day Adventist missionaries labored in significant numbers, for around eighty years. “The English-speaking regions of the Caribbean were the first to attract Adventist workers.”

​East Andean Venezuela Mission is a part of West Venezuela Union Mission in the Inter-American Division of Seventh-day Adventists.

The East Caribbean Conference is a part of the Caribbean Union Conference in the Inter-American Division of Seventh-day Adventists. It was organized in 1926 and reorganized in 1945, 1960, 1975, 1984, and 1999. The territory divided and reorganized yet again in 2012. Its headquarters is in St. Michael, Barbados, and its territory is comprised of Barbados and Dominica.

East Central Colombian Conference is a part of North Colombian Union Conference in the Inter-American Division of Seventh-day Adventists.

​East El Salvador Conference is a part of El Salvador Union Mission. Its territory is comprised of La Unión, Morazán, San Miguel, and Usulután. It has 201 churches and 55,475 members in a population of 1,389,750. Its address is Km. 126.5, Carretera Panamericana a San Miguel, El Salvador.

​Primary Adventist Academy (Academia Primaria Adventista del Este) is an elementary school operated by the East Puerto Rico Conference in Villa Prades, Río Piedras, Puerto Rico.

​The East Guatemala Mission's main office is located in the main city of Chiquimula, and it covers the whole east area of Guatemala.

The East Los Llanos Conference is part of the Southern Colombian Union, located within the territory of the Inter-American Division of Seventh-day Adventists. The East Los Llanos Conference covers a population of 1,596,437, and includes the Colombian departments of Meta, Casanare, Guaviare, and Guainía.

​The East Puerto Rico Conference was created in the late 1960s when rapid growth made it necessary to divide the Puerto Rico Conference.