FORM 1023-EZ for CAMP CRYSTAL CLEAR INC

Field Data
EIN 46-4841393
Case Number EO-2016132-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP CRYSTAL CLEAR INC
Organization’s Mailing Address PO BOX 23186
City FT. LAUDERDALE
State FL
ZIP 33307
Accounting period End 12
Primary contact name DANIEL TORNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL TORNA
OFFICER, ADMIN CHAIR
1600 WEST AVE APT203
MIAMI BEACH FL 33139

Officer/Director/Trustee Two

ROBERT ACCETURA
OFFICER, EVENT CHAIR
2212 WILTON PARK DR
WILTON MANORS FL 33305

Officer/Director/Trustee Three

MARK DAVIRRO
OFFICER, PROGRAM CHAIR
1000 SE 4TH ST APT305
FT LAUDERDALE FL 33301

Officer/Director/Trustee Four

RICHARD ROGOWSKI
OFFICER, TREASURER
2251 NE 9TH AVE
WILTON MANORS FL 33305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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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