FORM 1023-EZ for BORN2BEAMAN INC

Field Data
EIN 84-3428998
Case Number EO-2020112-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORN2BEAMAN INC
Organization’s Mailing Address 511 UPTAIN RD
City QUINCY
State FL
ZIP 32352-6574
Accounting period End 12
Primary contact name RUSSELL HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSSELL HARRISON SR
PRESIDENT
511 UPTAIN RD
QUINCY FL 32352-6574

Officer/Director/Trustee Two

RUSSELL HARRISON JR
VICE PRESIDENT
405 STRONG RD 15B 154
QUINCY FL 32351-6086

Officer/Director/Trustee Three

CLARISSA NEAL-HARRISON
SECRETARY
511 UPTAIN RD
QUINCY FL 32352-6574

Officer/Director/Trustee Four

ROIQUISTA HARRISON
TREASURER
511 UPTAIN RD
QUINCY FL 32352-6574

Officer/Director/Trustee Five

CASSANDRA PEASE-MOTEN
MEDIA RELATIONS
312 PERKINS ST
TALLAHASSEE FL 32301-5542

Organization’s website
Organization’s email BORN2BEAMAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 RUSSELL HARRISON SR
Signature Title PRESIDENT
Signature Date 4/19/2020

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