FORM 1023-EZ for LTB FOUNDATION INC

Field Data
EIN 82-4247078
Case Number EO-2018071-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LTB FOUNDATION INC
Organization’s Mailing Address 4115 WEST SPRUCE STREET
City TAMPA
State FL
ZIP 33607
Accounting period End 6
Primary contact name ALICE BESSETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICE BESSETTE
DIRECTOR
4115 WEST SPRUCE STREET
TAMPA FL 33607

Officer/Director/Trustee Two

DAVE ADAMS
TREASURER
1925 EAST SECOND AVENUE
TAMPA FL 33605

Officer/Director/Trustee Three

DEDE GRUNDEL
SECRETARY
PO BOX 24722
TAMPA FL 33623

Officer/Director/Trustee Four

JACKIE SKRYD
DIRECTOR
14025 58TH STREET NORTH
CLEARWATER FL 33760

Officer/Director/Trustee Five

STEVE HIMES
CHAIR
4950 WEST KENNEDY BLVD - 300
TAMPA FL 33609

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, 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 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 DEDE GRUNDEL
Signature Title SECRETARY
Signature Date 3/8/18

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