FORM 1023-EZ for DRIVE FOR DIABETES AWARENESS INC

Field Data
EIN 47-2243582
Case Number EO-2014310-000507
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRIVE FOR DIABETES AWARENESS INC
Organization’s Mailing Address 2318 SPRING OAKS CIRCLE
City SARASOTA
State FL
ZIP 34243
Accounting period End 12
Primary contact name DAVID MONTGOMERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRENT KUEHL
PRESIDENT
2318 SPRING OAKS CIRCLE
SARASOTA FL 34243

Officer/Director/Trustee Two

HEATHER KUEHL
VICE PRESIDENT - TREASURER
2318 SPRING OAKS CIRCLE
SARASOTA FL 34243

Officer/Director/Trustee Three

MARY READ
SECRETARY
7917 DRAYTON CIRCLE
BRADENTON FL 34201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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