FORM 1023-EZ for SHAPE ESCAMBIA SOCIETY OF HEALTH AND PHYSICAL EDUCATORS INC
| Field | Data |
|---|---|
| EIN | 84-3521104 |
| Case Number | EO-2019353-000240 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHAPE ESCAMBIA SOCIETY OF HEALTH AND PHYSICAL EDUCATORS INC |
| Organization’s Mailing Address | 151 EAST FAIRFIELD DR |
| City | PENSACOLA |
| State | FL |
| ZIP | 32503 |
| Accounting period End | 10 |
| Primary contact name | CASANDRA WALLER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CASANDRA WALLER
DIRECTOR
151 EAST FAIRFIELD DR
PENSACOLA FL 32503
Officer/Director/Trustee Two
CHARMAIN SUTHERLAND
OFFICER
11000 UNIVERSITY PKWY BLDG 72-276
PENSACOLA FL 32514
Officer/Director/Trustee Three
ZARIA WILLIAMS
OFFICER
2701 NORTH Q STREET
PENSACOLA FL 32501
Officer/Director/Trustee Four
CHERYL BUTLER
OFFICER
5640 HILLTOP RD
PENSACOLA FL 32504
Officer/Director/Trustee Five
CARMEN GUSTAFSON
TREASURER
151 EAST FAIRFIELD DR
PENSACOLA FL 32503
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/25/2019 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: No 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 | CASANDRA WALLER |
| Signature Title | DIRECTOR |
| Signature Date | 12/17/2019 |
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