FORM 1023-EZ for FLORIDA COALITION TO PREVENT VETERAN HOMELESSNESS

Field Data
EIN 85-1064841
Case Number EO-2020246-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FLORIDA COALITION TO PREVENT VETERAN HOMELESSNESS
Organization’s Mailing Address 2502 TRAPSIDE COURT
City KISSIMMEE
State FL
ZIP 34746
Accounting period End 12
Primary contact name R LEWAYNE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

R LEWAYNE JOHNSON
CHIEF EXECUTIVE OFFICER
2502 TRAPSIDE COURT
KISSIMMEE FL 34746

Officer/Director/Trustee Two

JIM FISHER
TREASURER
2502 TRAPSIDE COURT
KISSIMMEE FL 34746

Officer/Director/Trustee Three

DIANNE LOVE
CHAIRPERSON
7331 HOLLORN LANE
MEMPHIS TN 38125

Officer/Director/Trustee Four

ANN JOHNSON-MIDDLETON
VOTING MEMBER
1655 BRIARHEATH DRIVE
AURORA IL 60505

Officer/Director/Trustee Five

DELORIS J MCMILLAN
VOTING MEMBER
2781 MICHIGAN AVENUE
KISSIMMEE FL 33744

Organization’s website
Organization’s email RLJJOHNSON12@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L30 - Housing Search Assistance
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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name R LEWAYNE JOHNSON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 8/31/2020

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