FORM 1023-EZ for FROM BOYS TO MEN FOUNDATION INC

Field Data
EIN 81-1289380
Case Number EO-2016034-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FROM BOYS TO MEN FOUNDATION INC
Organization’s Mailing Address 907 NORTH 22ND STREET
City FORT PIERCE
State FL
ZIP 34947
Accounting period End 7
Primary contact name DARRELL ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARRELL ALEXANDER
PRESEDENT/CEO
907 N 22ND ST
FORT PIERCE FL 34947

Officer/Director/Trustee Two

TRAVON SIMMONS
PRESIDENT/CEO
804 N 14 ST APT B
FORT PIERCE FL 34950

Officer/Director/Trustee Three

ALI GARY
COO,
3786 NW DEER OAK DR
JENSEN BEACH FL 34947

Officer/Director/Trustee Four

BRANDON NEWSOME
VICE PRESEDENT
804 N 14TH ST APT B
FORT PIERCE FL 34950

Officer/Director/Trustee Five

KIMBERLY CLARKE
TRESURY
113 ACADEMY DR
FORT PIERCE FL 34946

Organization’s website
Organization’s email FROMBOYSTOMEN@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
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: Yes
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 Yes
Donation of funds Yes
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 Yes
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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