FORM 1023-EZ for TERRELL BUCKLEY FOUNDATION INC

Field Data
EIN 82-3896662
Case Number EO-2018010-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TERRELL BUCKLEY FOUNDATION INC
Organization’s Mailing Address 10097 CLEARY BLVD
City PLANTATION
State FL
ZIP 33324
Accounting period End 12
Primary contact name MECHEL LANIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS BUCKLEY
PRESIDENT
10097 CLEARY BLVD
PLANTATION FL 33324

Officer/Director/Trustee Two

MECHEL LANIER
VICE PRESIENT
5203 FOREST VIEW TRL SE
MABLETON GA 30126

Officer/Director/Trustee Three

SHERRELL BUCKLEY
SECRETARY
19106 S GARDENIA AVE
WESTON FL 33332

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 MECHEL LANIER
Signature Title VICE PRESIENT
Signature Date 1/8/18

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