FORM 1023-EZ for CENTRAL FLORIDA EVERGREEN SENIORS CLUB INC

Field Data
EIN 81-3495169
Case Number EO-2017103-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL FLORIDA EVERGREEN SENIORS CLUB INC
Organization’s Mailing Address 1311 PLUMGRASS CIRCLE
City OCOEE
State FL
ZIP 34761-5716
Accounting period End 12
Primary contact name RONG-TSAI WU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PING QIAO
PRESIDENT
1311 PLUMGRASS CIRCLE
OCOEE FL 34761-5716

Officer/Director/Trustee Two

HSIOA COLLINS
VICE PRESIDENT
11943 MODENA LANE
ORLANDO FL 32827-7161

Officer/Director/Trustee Three

RONG-TSAI WU
TREASURER
2457 BREEZY MEADOW ROAD
APOPKA FL 32712-6434

Officer/Director/Trustee Four

ZHONGHUA LI
OFFICER
14011 SOBRADO DRIVE
ORLANDO FL 32837-4775

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
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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