FORM 1023-EZ for FOREVER 19 DAVID LYONS JR INC

Field Data
EIN 85-2395366
Case Number EO-2020224-000877
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOREVER 19 DAVID LYONS JR INC
Organization’s Mailing Address 809 POWELL ST
City WILDWOOD
State FL
ZIP 34785
Accounting period End 9
Primary contact name AVON HAMBRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATRINA LYONS
PRESIDENT
809 POWELL ST
WILDWOOD FL 34785

Officer/Director/Trustee Two

DAVID LYONS
VICE PRESIDENT
809 POWELL ST
WILDWOOD FL 34785

Officer/Director/Trustee Three

SHARNIECE JOHNSON
DIRECTOR
824 HWY 466 APT 3102
LADY LAKE FL 32159

Officer/Director/Trustee Four

CURTISIA LYONS
DIRECTOR
2020 CONTINENTAL AVE APT 150
TALLAHASSEE FL 32304

Organization’s website
Organization’s email KLYONS461@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 KATRINA LYONS
Signature Title PRESIDENT
Signature Date 8/9/2020

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