FORM 1023-EZ for TEQUOIA GRAND

Field Data
EIN 85-3036134
Case Number EO-2021026-000021
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEQUOIA GRAND
Organization’s Mailing Address 5195 MONTFORD CIR
City SPRING HILL
State FL
ZIP 34606
Accounting period End 9
Primary contact name JEANCASIA NOLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANCASIA NOLEN
CHAIRMAN OF THE BOARD
5195 MONTFORD CIR
SPRING HILL FL 34606

Officer/Director/Trustee Two

MICHAEL NOLEN
COCHAIR
5195 MONTFORD CIR
SPRING HILL FL 34606

Officer/Director/Trustee Three

JOHNITA JACKSON
TREASURER
2610 MOOSEHIDE
HARKER HEIGHTS TX 76548

Officer/Director/Trustee Four

MARTHA MOORE GOMEZ
SECRATERY
420 E CHURCH 714
ORLDANDO FL 32801

Officer/Director/Trustee Five

DONNA GREGORY
COCHAIR
5434 SANDY SHELL DR
APOLLO BEACH FL 33572

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: No
Religious: Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEANCASIA NOLEN
Signature Title CHAIRMAN OF THE BOARD
Signature Date 12/7/2020

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