FORM 1023-EZ for HAVANA GARDEN CLUB INC

Field Data
EIN 82-2071417
Case Number EO-2017303-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAVANA GARDEN CLUB INC
Organization’s Mailing Address 6972 FL GA HWY
City HAVANA
State FL
ZIP 32333
Accounting period End 12
Primary contact name EDNA HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDNA HALL
PRESIDENT
6972 FL GA HWY
HAVANA FL 32333

Officer/Director/Trustee Two

DIANNE CROLEY
VICE PRESIDENT
255 LONGVIEW LANE
HAVANA FL 32333

Officer/Director/Trustee Three

REVA MARSHALLL
TREASURER
2575 TALLAVANA TRAIL
HAVANA FL 32333

Officer/Director/Trustee Four

SALLY BODDERY
SECRETARY
320 BOSTICK RD
HAVANA FL 32333

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C42 - Garden Club, Horticultural Program
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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