FORM 1023-EZ for JOHN AND ANGELINA WINTERS BRANCH ACADEMY INC

Field Data
EIN 81-0756146
Case Number EO-2016263-000506
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHN AND ANGELINA WINTERS BRANCH ACADEMY INC
Organization’s Mailing Address 910 NE 128TH STREET
City NORTH MIAMI
State FL
ZIP 33161
Accounting period End 12
Primary contact name NADINE S ROGERS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALPHONSO JACKSON
PRESIDENT
910 NE 128TH STREET
NORTH MIAMI FL 33161

Officer/Director/Trustee Two

JAMILA JACKSON
VICE PRESIDENT
910 NE 128TH STREET
NORTH MIAMI FL 33161

Officer/Director/Trustee Three

SANDRA VALLEJO
SECRETARY
2940 NE 164TH STREET
NORTH MIAMI BEACH FL 33160

Officer/Director/Trustee Four

ROSLYN NOEL
TREASURER
771 SW 64TH TERRACE
PEMBROKE PINES FL 33023

Officer/Director/Trustee Five

DELPHINE GERVAIS
DIRECTOR
100 NW 198TH STREET
MIAMI FL 33169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P33 - Child Day Care
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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