FORM 1023-EZ for FLW REBUILD CORP

Field Data
EIN 81-2470721
Case Number EO-2016279-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLW REBUILD CORP
Organization’s Mailing Address 1745 SW CRANE CREEK AVE
City PALM CITY
State FL
ZIP 34990
Accounting period End 12
Primary contact name LEON WILDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MINER
CEO
1745 SW CRANE CREEK AVE
PALM CITY FL 34990

Officer/Director/Trustee Two

LANE MANIS
PRESIDENT
1448 N LIBERTY ST
JACKSONVILLE FL 32206

Officer/Director/Trustee Three

CAROL MINOR
TREASURER
1745 SW CRANE CREEK AVE
PALM C ITY FL 34990

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 Yes
One Third Support Gifts No
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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