FORM 1023-EZ for SUWANNEE FOREST PARK HILL INC COMMUNITY CCENTER

Field Data
EIN 47-5556805
Case Number EO-2015338-000134
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUWANNEE FOREST PARK HILL INC COMMUNITY CCENTER
Organization’s Mailing Address 238 TERIKO DRIVE
City OLDTOWN
State FL
ZIP 32680
Accounting period End 12
Primary contact name HAROLD WARREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAROLD WARREN
PRESIDENT
111 NE 638TH STREET
OLDTOWN FL 32680

Officer/Director/Trustee Two

BARBARA WEBER
VICE PRESIDENT
6 NE 453 AVE
OLDTOWN FL 32680

Officer/Director/Trustee Three

HELEN NONNEMACHER
SECRETARY
236 SE CEDAR DRIVE
OLDTOWN FL 23680

Officer/Director/Trustee Four

ED CLARK
TREASURER
798 NE 835 STREET
OLDTOWN FL 32680

Officer/Director/Trustee Five

ANNIE DELALLA
TRUSTIE
52 NE 817 STREET
OLDTOWN FL 32680

Organization’s website NA
Organization’s email
Organization Incorporated
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/1977
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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