FORM 1023-EZ for MCBURNIE AZARIA HEALTH FOOD INC

Field Data
EIN 84-4781064
Case Number EO-2021193-000802
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MCBURNIE AZARIA HEALTH FOOD INC
Organization’s Mailing Address 3121 LOWELL AVENUE
City JACKSONVILLE
State FL
ZIP 32254
Accounting period End 12
Primary contact name PATRIA REEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRIA REEVES
PRESIDENT
3121 LOWELL AVENUE
JACKSONVILLE FL 32254

Organization’s website
Organization’s email PATRIAREEVES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 PATRIA REEVES
Signature Title PRESIDENT
Signature Date 7/8/2021

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