FORM 1023-EZ for COMMUNITY INC

Field Data
EIN 82-2646998
Case Number EO-2017244-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY INC
Organization’s Mailing Address 11375 LABRADOR DUCK ROAD
City WEEKI WACHEE
State FL
ZIP 34614
Accounting period End 12
Primary contact name VIENNESSEE BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERMAN SCRIVEN
CHAIR
11375 LABRADOR DUCK ROAD
WEEKI WACHEE FL 34614

Officer/Director/Trustee Two

DAVID SWACKARD
VICE CHAIR
908 JOSEPHINE STREET
BROOKSVILLE FL 34601

Officer/Director/Trustee Three

GINA HALL
SECRETARY
2341 MARIETTA AVENUE
SPRING HILL FL 34608-4825

Officer/Director/Trustee Four

CRYSTAL WADDY
TREASURER
11353 HUMER ROAD
WEEKI WACHEE FL 34614

Officer/Director/Trustee Five

VIENNESSEE BLACK
MEMBER AT LARGE
7399 CORNFLOWER ROAD
BROOKSVILLE FL 34601-9006

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: No
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 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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