FORM 1023-EZ for CARVER LINCOLN ASSOCIATION FOR YOUTH INCORPORATED

Field Data
EIN 59-3113808
Case Number EO-2014275-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARVER LINCOLN ASSOCIATION FOR YOUTH INCORPORATED
Organization’s Mailing Address 3343 HICKORYNUT STREET
City JACKSONVILLE
State FL
ZIP 32208-2060
Accounting period End 12
Primary contact name JUNE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT PATTERSON
PRESIDENT
100 NORTH STARCREST DRIVE
CLEARWATER FL 33765

Officer/Director/Trustee Two

IVAN WILLIAMS
VICE PRESIDENT
8028 LEM TURNER ROAD
JACKSONVILLE FL 32208

Officer/Director/Trustee Three

KRYSTALGALE PATTERSON
TREASURER
19159 CYPRESS GREEN ROAD
LUTZ FL 33558

Officer/Director/Trustee Four

JUNE WILLIAMS
SECRETARY
3343 HICKORYNUT STREET
JACKSONVILLE FL 32208-2060

Officer/Director/Trustee Five

GALE WILLIAMS
DIRECTOR
10235 DEPAUL DRIVE
JACKSONVILLE FL 32218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/1996
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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