FORM 1023-EZ for LAKEVIEW BOYS HOME II

Field Data
EIN 47-3858213
Case Number EO-2015140-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKEVIEW BOYS HOME II
Organization’s Mailing Address 3020 21 AVE
City ST PETERSBURG
State FL
ZIP 33712
Accounting period End 12
Primary contact name ROBERT LANGSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT LANGSTON
PRESIDENT
2255 QUEEN STREET SOUTH
ST PETERSBURG FL 33712

Officer/Director/Trustee Two

TERRANCE WILLIAMS
EX DR
1184 SAN MARCO DR
LARGO FL 33770

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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
Signature Title
Signature Date

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