FORM 1023-EZ for EAGLE SCOUT MINISTRY INC

Field Data
EIN 47-2066761
Case Number EO-2015064-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAGLE SCOUT MINISTRY INC
Organization’s Mailing Address 11385 LAKE SHORE DRIVE
City COOPER CITY
State FM
ZIP 33026
Accounting period End 12
Primary contact name STEVEN VANDESANDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN VANDESANDE
PRESIDENT
11385 LAKE SHORE DRIVE
COOPER CITY FL 33026

Officer/Director/Trustee Two

TIFFANY VANDESANDE
VICE PRESIDENT
11385 LAKE SHORE DRIVE
COOPER CITY FL 33026

Officer/Director/Trustee Three

CHRISTINA VANDESANDE
VICE PRESIDENT
11385 LAKE SHORE DRIVE
COOPER CITY FL 33026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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