FORM 1023-EZ for LEADSRQ INC

Field Data
EIN 82-0692237
Case Number EO-2017068-000485
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADSRQ INC
Organization’s Mailing Address 1650 KEELY LANE
City SARASOTA
State FL
ZIP 34232
Accounting period End 12
Primary contact name JILL CREEVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL CREEVY
DIRECTOR
1650 KEELY LANE
SARASOTA FL 34232

Officer/Director/Trustee Two

DOUGLAS GILLILAND
DIRECTOR
3642 WALDEN POND DRIVE
SARASOTA FL 34240

Officer/Director/Trustee Three

GAIL BALKWILL
DIRECTOR
2151 RIVIERA DRIVE
SARASOTA FL 34232

Officer/Director/Trustee Four

JANIS SALAS
DIRECTOR
3957 HIDDEN GLEN DRIVE
SARASOTA FL 34241

Officer/Director/Trustee Five

KRISTI GEIB
DIRECTOR
1083 SPEASMAKER LANE
SARASOTA FL 34232

Organization’s website WWW.LEADSRQ.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 No
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 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
Signature Title
Signature Date

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