| Field | Data |
|---|---|
| EIN | 86-3615000 |
| Case Number | EO-2021144-000168 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIBERTINE HOUSE |
| Organization’s Mailing Address | 10110 N MIAMI AVENUE |
| City | MIAMI SHORES |
| State | FL |
| ZIP | 33150-1250 |
| Accounting period End | 12 |
| Primary contact name | BETTY CROCKER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DEREK CROCKER
PRESIDENT
10110 N MIAMI AVENUE
MIAMI SHORES FL 33150-1250
YSUARO HERNANDEZ
AV
5050 SWEETWATER TERRACE
COOPER CITY FL 33330
DARRELL FAYSON
SECRETARY
3010 NW 172 TERRACE
MIAMI GARDENS FL 33056
| Organization’s website | |
|---|---|
| Organization’s email | DRDJCROCKER@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/16/2021 |
| 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: Yes 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 | 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 | DEREK CROCKER |
| Signature Title | PRESIDENT |
| Signature Date | 5/21/2021 |
Click on the save icon from a search results or organization page.