FORM 1023-EZ for SAM AND LELIA WASHINGTON HISTORIC PRESERVATION INCORPORATED

Field Data
EIN 47-2155546
Case Number EO-2014342-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAM AND LELIA WASHINGTON HISTORIC PRESERVATION INCORPORATED
Organization’s Mailing Address PO BOX 458
City SANFORD
State FL
ZIP 32772
Accounting period End 12
Primary contact name FLORETTA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOIE JOHNSON
PRESIDENT
100 VICTORIA DR
FAYETTEVILLE GA 30214

Officer/Director/Trustee Two

FLORETTA JOHNSON
VP
PO BOX 93
FAYETTEVILLE GA 30214

Officer/Director/Trustee Three

HELEN ROME
TREASURER
208 29TH STREET EAST
PALMETTO FL 34261

Officer/Director/Trustee Four

DEBORAH BARTON
TREASURER
212 29TH STREET EAST
PALMETTO FL 34261

Officer/Director/Trustee Five

TRENNA MCDONALD
SECRETARY
PO BOX 458
SANFORD FL 32772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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
Signature Title
Signature Date

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