FORM 1023-EZ for PROJECT TAKE BACK INC
| Field | Data |
|---|---|
| EIN | 83-1694061 |
| Case Number | EO-2018295-000415 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PROJECT TAKE BACK INC |
| Organization’s Mailing Address | 10860 CARLOWAY HILLS DRIVE |
| City | WIMAUMA |
| State | FL |
| ZIP | 33598 |
| Accounting period End | 12 |
| Primary contact name | ELANA GREENWAY FANIEL - ATTORNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LORRIE SHEPHERD
DIRECTOR
10860 CARLOWAY HILLS DRIVE
WIMAUMA FL 33598
Officer/Director/Trustee Two
TIFFANY MEAUX
DIRECTOR
1320 LAKE LUCERNE WAY - 102
BRANDON FL 33511
Officer/Director/Trustee Three
DELAWRENCE SHEPHERD
DIRECTOR
10860 CARLOWAY HILLS DRIVE
WIMAUMA FL 33598
Officer/Director/Trustee Four
ROSELLE PITTMAN
DIRECTOR
17024 WHITE MANGROVE DRIVE
WIMAUMA FL 33598
| Organization’s website | HTTPS://WWW.PROJECTTAKEBACK.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/30/18 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P62 - Victims' Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | LORRIE SHEPHERD |
| Signature Title | DIRECTOR |
| Signature Date | 10/19/18 |
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