FORM 1023-EZ for WINTER HAVEN POLICE BENEVOLENT ASSOCIATION INC

Field Data
EIN 59-2066440
Case Number EO-2017236-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WINTER HAVEN POLICE BENEVOLENT ASSOCIATION INC
Organization’s Mailing Address 125 N LAKE SILVER DR NW
City WINTER HAVEN
State FL
ZIP 33881-2450
Accounting period End 12
Primary contact name KARI ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT BONSALL
PRESIDENT
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Two

SHARAH WINSETT
SECRETARY
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Three

KARI GASKIN
VICE PRESIDENT
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Four

KARI ANDERSON
TREASURER
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Organization’s website
Organization’s email KANDERSON@MYWINTERHAVEN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/1962
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 59-2066440
Case Number EO-2014268-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WINTER HAVEN POLICE BENEVOLENT ASSOCIATION INC
Organization’s Mailing Address 125 N LAKE SILVER DR NW
City WINTER HAVEN
State FL
ZIP 33881
Accounting period End 12
Primary contact name JAMIE BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH ICHOLS
PRESIDENT
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Two

JOSEPH LYONS
VICE PRESIDENT
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Three

ERICA THOMAS
SECRETARY
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Four

JAMIE BROWN
TREASURER
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Officer/Director/Trustee Five

AIDA ROIAS
SGT AT ARMS
125 N LAKE SILVER DR NW
WINTER HAVEN FL 33881

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/1962
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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