FORM 1023-EZ for COMMUNITY ICON INC

Field Data
EIN 81-4180568
Case Number EO-2020216-000035
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY ICON INC
Organization’s Mailing Address 1809 EAST BROADWAY
City OVIEDO
State FL
ZIP 32765
Accounting period End 12
Primary contact name KEVIN TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN TURNER
PRESIDENT / DIRECTOR
1809 EAST BROADWAY
OVIEDO FL 32765

Officer/Director/Trustee Two

LISA TURNER
TREASURER / DIRECTOR
1809 EAST BROADWAY
OVIEDO FL 32765

Officer/Director/Trustee Three

CAROLYN ALLEN
SECRETARY / DIRECTOR
766 20TH AVENUE SOUTH
ST. PETE FL 32705

Officer/Director/Trustee Four

WILLIAM MCCULLUM
DIRECTOR
4649 76TH AVE NORTH
PINELLAS PARK FL 33781

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KEVIN TURNER
Signature Title PRESIDENT / DIRECTOR
Signature Date 8/1/2020

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