FORM 1023-EZ for MARC MOORE MEMORIAL HIGHLINE HERO FOUNDATION INC

Field Data
EIN 80-0832998
Case Number EO-2017277-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARC MOORE MEMORIAL HIGHLINE HERO FOUNDATION INC
Organization’s Mailing Address 5235 PAUL BROWN ROAD
City LAKELAND
State FL
ZIP 33810
Accounting period End 12
Primary contact name TRACY MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY MOORE
DIRECTOR
5235 PAUL BROWN ROAD
LAKELAND FL 33810

Officer/Director/Trustee Two

CYNTHIA NEWBERRY
PRESIDENT
P O BOX 162
KATHLEEN FL 33849

Officer/Director/Trustee Three

JAMES NEWBERRY
VICE PRESIDENT
P O BOX 162
KATHLEEN FL 33849

Officer/Director/Trustee Four

JUDY DAVIS
SECRETARY
348 PICO COURT
LAKELAND FL 33809

Officer/Director/Trustee Five

ROBIN ECKELBERGER
TREASURER
5235 PAUL BROWN ROAD
LAKELAND FL 33810

Organization’s website HIGHLINEHEROES.COM
Organization’s email TRACY@HIGHLINEHEROES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2012
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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