FORM 1023-EZ for A QUEENLY EMBRACE INC

Field Data
EIN 86-1421854
Case Number EO-2021126-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A QUEENLY EMBRACE INC
Organization’s Mailing Address 6865 PLUM LAKE LANE E
City JACKSONVILLE
State FL
ZIP 32222
Accounting period End 12
Primary contact name AMY HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY HINES
OFFICER
6865 PLUM LAKE LANE E
JACKSONVILLE FL 32222

Organization’s website
Organization’s email AQUEENLYEMBRACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 AMY HINES
Signature Title OFFICER
Signature Date 5/4/2021
EIN 86-1421854
Case Number EO-2021126-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A QUEENLY EMBRACE INC
Organization’s Mailing Address 6865 PLUM LAKE LANE E
City JACKSONVILLE
State FL
ZIP 32222
Accounting period End 12
Primary contact name AMY HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY HINES
OFFICER
6865 PLUM LAKE LANE E
JACKSONVILLE FL 32222

Organization’s website
Organization’s email AQUEENLYEMBRACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 AMY HINES
Signature Title OFFICER
Signature Date 5/4/2021

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