FORM 1023-EZ for BOLDIN COMMUNITY IMPACT INC

Field Data
EIN 83-0997148
Case Number EO-2018176-000512
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOLDIN COMMUNITY IMPACT INC
Organization’s Mailing Address 239 BEGONIA DRIVE
City PAHOKEE
State FL
ZIP 33476
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE BOLDIN
PRESIDENT AND CEO
239 BEGONIA DRIVE
WEST PALM BEACH FL 33476

Officer/Director/Trustee Two

SYRENTHA BOLDIN
VICE PRESIDENT
239 BEGONIA DRIVE
PAHOKEE FL 33476

Officer/Director/Trustee Three

SANQUETTA COWAN
DIRECTOR
1548 SINGLETARY AVENUE
PAHOKKE FL 33476

Officer/Director/Trustee Four

EARLEAN GOLPHIN
SECRETARY
11747 SILK CARNATION WAY
ROYAL PALM BEACH FL 33411

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 CHRISTINE BOLDIN
Signature Title PRESIDENT AND CEO
Signature Date 6/23/18

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