FORM 1023-EZ for DR STAUBS CARES INC

Field Data
EIN 83-0787685
Case Number EO-2018172-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR STAUBS CARES INC
Organization’s Mailing Address 6514 CENTRAL AVENUE
City ST PETERSBURG
State FL
ZIP 33707
Accounting period End 12
Primary contact name COLBY STAUBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLBY STAUBS
DIRECTOR AND PRESIDENT
1700 WINCHESTER RD N
ST. PETERSBURG FL 33710

Officer/Director/Trustee Two

HANNAH BELL
TREASURER AND SECRETARY
1700 WINCHESTER RD N
ST. PETERSBURG FL 33710

Officer/Director/Trustee Three

FRANK MARALISI
DIRECTOR
3800 46TH AVENUE SOUTH
ST. PETERSBURG FL 33711

Officer/Director/Trustee Four

JOSH SHOCKLEE
DIRECTOR
6071 GARMOUTH WAY N
ST. PETERSBURG FL 33709

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
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 COLBY STAUBS
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/19/18

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