FORM 1023-EZ for SOCIETY OF DESCENDANTS OF LADY GODIVA INC

Field Data
EIN 46-3742325
Case Number EO-2015149-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCIETY OF DESCENDANTS OF LADY GODIVA INC
Organization’s Mailing Address 12567 PERCY LANE
City JACKSONVILLE
State FL
ZIP 32218-2337
Accounting period End 12
Primary contact name ANNELIES MOURING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVINE ROBERTS
PRESIDENT
12567 PERCY LANE
JACKSONVILLE FL 32218-2337

Officer/Director/Trustee Two

PATRICIA ANN S WILLIAMS
VP
102 PREFTON RD SE
PARROTT GA 39877

Officer/Director/Trustee Three

SHARON K STINE
VP
2321 IDELWOOD AVE
RICHMOND FL 23220

Officer/Director/Trustee Four

SONYA LEE EASON
TREASURER
11527 PELLHAM CT
JACKSONVILLE FL 32223-1365

Officer/Director/Trustee Five

ANNELIES MOURING
DIRECTOR
4276 PINE HOLLOW CIR
GREENACRES FL 33463-4376

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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