FORM 1023-EZ for DAB COMMUNITY SERVICES INC

Field Data
EIN 47-1786191
Case Number EO-2014302-000063
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAB COMMUNITY SERVICES INC
Organization’s Mailing Address 833 22ND STREET SOUTH
City SAINT PETERSBURG
State FL
ZIP 33712
Accounting period End 12
Primary contact name DORETHA FAYE WATSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DORETHA WATSON
PRESIDENT
3421 37TH STREET NORTH
SAINT PETERSBURG FL 33713

Officer/Director/Trustee Two

CHARLENE COHICK
SEC/TREASURER
30610 DOUBLE DRIVE
WESTLEY CHAPEL FL 33545

Officer/Director/Trustee Three

GLORIA CAMPBELL
OFFICER
1077 WEATHERSFIELD DRIVE
DUNEDIN FL 34698

Organization’s website WWW.DABCSERVICES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Gifts No
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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