FORM 1023-EZ for SOUTH FLORIDA CELIAC SUPPORT GROUP

Field Data
EIN 32-0397956
Case Number EO-2016336-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH FLORIDA CELIAC SUPPORT GROUP
Organization’s Mailing Address 35B WESTGATE LANE
City BOYNTON BEACH
State FL
ZIP 33436
Accounting period End 12
Primary contact name LAWRENCE BLOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY HOFFMAN
PRESIDENT
7029 GOLF POINTE CIRCLE
TAMARAC FL 33321

Officer/Director/Trustee Two

IRA GULKER
VICE PRES
6056 NW 23 WAY
BOCA RATON FL 33496

Officer/Director/Trustee Three

LES DOTI
SECY
7061 VENETO DR
BOYNTON BEACH FL 33436

Officer/Director/Trustee Four

LAWRENCE BLOCH
TREASURER
35B WESTGATE LANE
BOYNTON BEACH FL 33436

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/2012
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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