FORM 1023-EZ for MOUNT HERMON FAMILY AND COMMUNITY SERVICES

Field Data
EIN 37-1636650
Case Number EO-2020262-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNT HERMON FAMILY AND COMMUNITY SERVICES
Organization’s Mailing Address 404 NW 7TH TERRACE
City FORT LAUDERDALE
State FL
ZIP 33311
Accounting period End 12
Primary contact name TEQUISHA MYLES ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRY GREEN JR
PRESIDENT
404 NW 7TH TERRACE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Two

LACARENTHIA ANDERSON
DIRECTOR
404 NW 7TH TERRACE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Three

JOHN GLOVER
TREASURER
404 NW 7TH TERRACE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Four

ELZILIA JONES
SECRETARY
404 NW 7TH TERRACE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Five

ROBERT STRONG
DIRECTOR
404 NW 7TH TERRACE
FORT LAUDERDALE FL 33311

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2011
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 HENRY GREEN JR
Signature Title PRESIDENT
Signature Date 9/16/2020

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