FORM 1023-EZ for ALLIANCE FOR PERIOD SUPPLIES OF SWFL

Field Data
EIN 83-3151463
Case Number EO-2019038-000844
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLIANCE FOR PERIOD SUPPLIES OF SWFL
Organization’s Mailing Address 20110 RIVERBROOKE RUN
City ESTERO
State FL
ZIP 33928
Accounting period End 6
Primary contact name DUSTINE BEAUBIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTINE BEAUBIEN
PRESIDENT
20110 RIVERBROOKE RUN
ESTERO FL 33928

Officer/Director/Trustee Two

ELIZABETH WINEBRENNER
TREASURER
626 PALM CIRCLE WEST
NAPLES FL 34102

Officer/Director/Trustee Three

MARY BETH JONES
VICE PRESIDENT
5962 HAMMOCK ISLES CIRCLE
NAPLES FL 34119

Officer/Director/Trustee Four

MARILYN BARTTER
DIRECTOR
3377 GULF SHORE BLVD N 4A
NAPLES FL 34103

Officer/Director/Trustee Five

SUSAN HARRIS
DIRECTOR
4005 GULF SHORE BLVD N 403
NAPLES FL 34103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 DUSTINE BEAUBIEN
Signature Title PRESIDENT
Signature Date 2/3/19

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