FORM 1023-EZ for EPILEPSY LEADERSHIP FOUNDATION INC

Field Data
EIN 81-1288823
Case Number EO-2016306-000089
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EPILEPSY LEADERSHIP FOUNDATION INC
Organization’s Mailing Address 2128 VENETIAN WAY
City WINTER PARK
State FL
ZIP 32789
Accounting period End 12
Primary contact name JUSTINE COWAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE TALL
PRESIDENT
2128 VENETIAN WAY
WINTER PARK FL 32789

Officer/Director/Trustee Two

LEAH WEBER
VICE PRESIDENT
9217 TIBET POINTE CIRCLE
WINDERMERE FL 34786

Officer/Director/Trustee Three

CHANDRA WILLIAMS
SECRETARY
1412 WEST BROOKSHIRE COURT
WINTER PARK FL 32792

Officer/Director/Trustee Four

CHERYL GUERIN
TREASURER
580 LIVE OAK STREET
MAITLAND FL 32751

Organization’s website WWW.EFLCARES.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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