FORM 1023-EZ for OVERTOWN OPTIMIST CLUB INC

Field Data
EIN 81-0990745
Case Number EO-2016126-000260
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OVERTOWN OPTIMIST CLUB INC
Organization’s Mailing Address 401 NW 12TH STREET
City MIAMI
State FL
ZIP 33136
Accounting period End 12
Primary contact name JOSE THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEON WILLIAMS
PRESIDENT
401 NW 12TH STREET
MIAMI FL 33136

Officer/Director/Trustee Two

RACHEL MEEKS
SECRETARY
401 NW 12TH STREET
MIAMI FL 33136

Officer/Director/Trustee Three

ULTRINA HARRIS
DIRECTOR
401 NW 12TH STREET
MIAMI FL 33136

Officer/Director/Trustee Four

JUSTO JAY
OFFICER
401 NW 12TH STREET
MIAMI FL 33036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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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