FORM 1023-EZ for LAKE WALES MAIN STREET INC

Field Data
EIN 59-2774401
Case Number EO-2016147-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE WALES MAIN STREET INC
Organization’s Mailing Address PO BOX 4125
City LAKE WALES
State FL
ZIP 33859
Accounting period End 12
Primary contact name JESSICA BRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIKA SCHINDLER
P
5011 LAKE MABEL LOOP
LAKE WALES FL 33898

Officer/Director/Trustee Two

VANESSA COLBURN
V
1424 TINDEL CAMP ROAD
LAKE WALES FL 33898

Officer/Director/Trustee Three

AMBER JOHNSON
SECRETARY
5
LAKE WALES FL 33853

Officer/Director/Trustee Four

JOHN ADKINSON
TREASURER
PO BOX 129
LAKE WALES FL 33859

Officer/Director/Trustee Five

CHARLENE BENNETT
DIRECTOR
929 CARLTON AVE
LAKE WALES FL 33853

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/1987
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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