FORM 1023-EZ for SHAPE FLORIDA - SOCIETY OF HEALTH AND PHYSICAL EDUCATORS INC

Field Data
EIN 59-6141926
Case Number EO-2016057-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHAPE FLORIDA - SOCIETY OF HEALTH AND PHYSICAL EDUCATORS INC
Organization’s Mailing Address 798 FOXHOUND DRIVE
City PORT ORANGE
State FL
ZIP 32128
Accounting period End 5
Primary contact name HOLLIE NEWNAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOLLIE NEWNAM
EXECUTIVE DIRECTOR
798 FOXHOUND DRIVE
PORT ORANGE FL 32128

Organization’s website SHAPEFLA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
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 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
Signature Title
Signature Date

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