FORM 1023-EZ for BEHAVIOR THERAPY FIT PLUS INC

Field Data
EIN 82-2418974
Case Number EO-2017265-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEHAVIOR THERAPY FIT PLUS INC
Organization’s Mailing Address 3591 EAST TREE TOPS COURT
City DAVIE
State FL
ZIP 33328-7107
Accounting period End 12
Primary contact name RAQUEL CICINI PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAQUEL CICINI
PRESIDENT
3591 EAST TREE TOPS COURT
DAVIE FL 33328-7107

Officer/Director/Trustee Two

LAURA FEINER
SECRETARY
1612 SW 103RD LANE
DAVIE FL 33324-7467

Officer/Director/Trustee Three

JULIE GLUCKMAN
TREASURER
9156 D S W 23 RD STREET
DAVIE FL 33324-5018

Organization’s website WWW.BEHAVIORTHERAPYFITPLUS.COM
Organization’s email ROCKYCICINI54@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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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