FORM 1023-EZ for HAWTHORNE AREA COMMUNITY FOUNDATION

Field Data
EIN 42-1750668
Case Number EO-2015173-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAWTHORNE AREA COMMUNITY FOUNDATION
Organization’s Mailing Address 188 LITTLE ORANGE LAKE DRIVE
City HAWTHORNE
State FL
ZIP 32640
Accounting period End 12
Primary contact name JANIS BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANIS BROWN
DIRECTOR
188 LITTLE ORANGE LAKE DRIVE
HAWTHORNE FL

Officer/Director/Trustee Two

BONITA DEWILIBY
DIRECTOR
1705 SW 56TH LN
GAINESVILLE FL

Officer/Director/Trustee Three

DONNA BOLES
DIRECTOR
6800 SE 66 AVE
HAWTHORNE FL

Officer/Director/Trustee Four

Janis Brown

188 Little Orange Lake Drive

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2007
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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