FORM 1023-EZ for BENEFIT SOLUTIONS OF TAMPA BAY INC

Field Data
EIN 47-4517454
Case Number EO-2015197-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENEFIT SOLUTIONS OF TAMPA BAY INC
Organization’s Mailing Address PO BOX 41213
City ST PETERSBURG
State FL
ZIP 33743
Accounting period End 12
Primary contact name NICHOLE MORALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICHOLE MORALES
DIRECTOR
5149 CENTRAL AVENUE
ST PETERSBURG FL 33710

Officer/Director/Trustee Two

ASHLEY PIPKIN
DIRECTOR
5149 CENTRAL AVENUE
ST PETERSBURG FL 33710

Officer/Director/Trustee Three

CARRIE RODRIGUEZ
DIRECTOR
5149 CENTRAL AVENUE
ST PETERSBURG FL 33710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P51 - Financial Counseling, Money Management
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 No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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