FORM 1023-EZ for VITALITY IN MOTION INC

Field Data
EIN 86-1957041
Case Number EO-2021089-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VITALITY IN MOTION INC
Organization’s Mailing Address 4267 CORAL SPRINGS DR
City CORAL SPRINGS
State FL
ZIP 33065
Accounting period End 12
Primary contact name ROBERTA SILVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERTA SILVA
PRESIDENT
4267 CORAL DRIVE
CORAL SPRINGS FL 33065

Officer/Director/Trustee Two

STACEY SMITH
SECRETARY
5390 SW 61ST AVE
DAVIE FL 33314

Officer/Director/Trustee Three

MARK DUCLOS
BOARD MEMBER
1409 LAKE ERIE DR
LAKE WORTH FL 33461

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 ROBERTA SILVA
Signature Title PRESIDENT
Signature Date 2/9/2021

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