FORM 1023-EZ for STORKS NEST OF PENSACOLA

Field Data
EIN 82-1773801
Case Number EO-2017159-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STORKS NEST OF PENSACOLA
Organization’s Mailing Address PO BOX 2491
City PENSACOLA
State FL
ZIP 32513
Accounting period End 12
Primary contact name LILLIAN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERYKA WALLACE
PRESIDENT
POST OFFICE BOX 2491
PENSACOLA FL 32513

Officer/Director/Trustee Two

EBONY CORNISH
VICE PRESIDENT
POST OFFICE BOX 2491
PENSACOLA FL 32513

Officer/Director/Trustee Three

LILLIAN SMITH
TREASURER
POST OFFICE BOX 2491
PENSACOLA FL 32513

Officer/Director/Trustee Four

TIFFANY PARKER
DIRECTOR
POST OFFICE BOX 2491
PENSACOLA FL 32513

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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