FORM 1023-EZ for GUNS HOSES FOUNDATION INC

Field Data
EIN 81-4961169
Case Number EO-2017023-000446
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GUNS HOSES FOUNDATION INC
Organization’s Mailing Address 340 W HIGHLAND DR
City LAKELAND
State FL
ZIP 33813-1543
Accounting period End 12
Primary contact name JENNIFER RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER RIVERA
PRESIDENT, BOARD CHAIRPERSON
340 W HIGHLAND DR
LAKELAND FL 33813-1543

Officer/Director/Trustee Two

MATTHEW BROWN
VICE PRESIDENT, DIRECTOR
3167 OAKPARK DR
LAKELAND FL 33803

Officer/Director/Trustee Three

KEVIN MOREY
SEC/TREASURER, DIRECTOR
1424 ROYAL FOREST LOOP
LAKELAND FL 33811

Officer/Director/Trustee Four

RUBEN GARCIA
DIRECTOR
219 N MASSACHUSETTS AVE
LAKELAND FL 33801

Officer/Director/Trustee Five

MICHAEL HURTA
DIRECTOR
331 S FLORIDA AVE BASEMENT SUITE
LAKELAND FL 33801

Organization’s website
Organization’s email JENNIFER@DOCJEN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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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