FORM 1023-EZ for FAITH AND WINE LEE COUNTY FL INC

Field Data
EIN 61-1750569
Case Number EO-2016111-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAITH AND WINE LEE COUNTY FL INC
Organization’s Mailing Address 12719 KEDLESTON CIRCLE
City FORT MYERS
State FL
ZIP 33912
Accounting period End 12
Primary contact name SUSAN AMMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN AMMON
PRESIDENT
12719 KEDLESTON CIRCLE
FORT MYERS FL 33912

Officer/Director/Trustee Two

JENNIFER ENGELMAN
VICE PRESIDENT
13360 ONION CREEK COURT
FORT MYERS FL 33912

Officer/Director/Trustee Three

LORI GRAVATTE
SECRETARY
13700 HICKORY RUN LANE
FORT MYERS FL 33912

Officer/Director/Trustee Four

JULIE RICHARDS
TREASURER
6946 PICKADILLY COURT
FORT MYERS FL 33919

Officer/Director/Trustee Five

ROBIN DYSARD
OFFICER
20281 CALICE COURT/2204
ESTERO FL 33928-7652

Organization’s website FAITHANDWINELEECOUNTY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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