FORM 1023-EZ for CRIME PREVENTION CENTRAL INC

Field Data
EIN 81-2636922
Case Number EO-2016165-000461
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRIME PREVENTION CENTRAL INC
Organization’s Mailing Address 1543 31ST STREET
City SARASOTA
State FL
ZIP 34234-4709
Accounting period End 12
Primary contact name CONNIE MAULTSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CONNIE MAULTSBY
CHIEF EXECUTIVE OFFICER
1543 31ST STREET
SARASOTA FL 34234-4709

Officer/Director/Trustee Two

SHERRINA FORD
CHIEF FINANCIAL OFFICER
10447 TARA DRIVE
RIVERVIEW FL 33578-8833

Officer/Director/Trustee Three

KATE PAGE KORP
BOARD MEMBER
156 EMERSON DRIVE
SARASOTA FL 34236-1209

Officer/Director/Trustee Four

BASHAR ITRAISH
BOARD MEMEBER
6168 46TH STREET EAST
BRADENTON FL 34203-6302

Officer/Director/Trustee Five

FOSIE CLIFFUS WESTON JR
BOARD MEMBER
4719 PALM AIRE CIRCLE
SARASOTA FL 34243-4938

Organization’s website
Organization’s email CMAULTSBY@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention 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 Yes
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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