FORM 1023-EZ for TAMPA BAY COMMUNITY SERVICES INC

Field Data
EIN 47-4327213
Case Number EO-2015205-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAMPA BAY COMMUNITY SERVICES INC
Organization’s Mailing Address 714 PARKER DEN DRIVE
City RUSKIN
State FL
ZIP 33570-2054
Accounting period End 12
Primary contact name RAMONA BURROWES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAMONA BURROWES
CEO/PRESIDENT
714 PARKER DEN DRIVE
RUSKIN FL 33570-2054

Officer/Director/Trustee Two

IRIS WIGGINS
DIRECTOR
1607 EAST SITKA STREET
TAMPA FL 33617-3466

Officer/Director/Trustee Three

ERIC AGBOLI
DIRECTOR
8110 N EDISON AVE
TAMPA FL 33604-2807

Officer/Director/Trustee Four

CURTIS BURROWES
DIRECTOR
714 PARKER DEN DRIVE
RUSKIN FL 33570-2054

Officer/Director/Trustee Five

MARIE MOSLEY
DIRECTOR
2108 PLEASANT VIEW AVE
RUSKIN FL 33570-2054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 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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