FORM 1023-EZ for JACKSON HEIGHTS NEIGHBORHOOD ASSOCIATION AND CRIME WATCH

Field Data
EIN 82-1584328
Case Number EO-2017142-000495
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON HEIGHTS NEIGHBORHOOD ASSOCIATION AND CRIME WATCH
Organization’s Mailing Address P O BOX 5524
City TAMPA
State FL
ZIP 33675-5524
Accounting period End 12
Primary contact name FRAN M TATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRAN TATE
PRESIDENT
3405 CLAY STREET
TAMPA FL 33605-1621

Officer/Director/Trustee Two

ROBERTA ISAAC
VICE PRESIDENT
3704 N 31ST STREET
TAMPA FL 33610-7810

Officer/Director/Trustee Three

TERRELL MATHIS
SECRETARY
2208 CHELSEA STREET
TAMPA FL 33610-7622

Officer/Director/Trustee Four

WESSIE BROWN
TREASURED
3101 E 26TH AVENUE
TAMPA FL 33605-1502

Officer/Director/Trustee Five

ROBERT SMITH
COORDINATOR
3503 E 29TH AVENUE
TAMPA FL 33605-1526

Organization’s website
Organization’s email JHNW2014@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 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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