FORM 1023-EZ for DONT TRY DONT DIE DRUG USE PREVENTION

Field Data
EIN 84-2063850
Case Number EO-2019165-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DONT TRY DONT DIE DRUG USE PREVENTION
Organization’s Mailing Address 1316 NE 21ST PLACE
City CAPE CORAL
State FL
ZIP 33909
Accounting period End 12
Primary contact name MICHAEL MYESR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL MYERS
PRESIDENT
14001 N CR 400E
EATON IN 47338

Officer/Director/Trustee Two

JENNIFER TABORA
SECRETARY
1316 NE 21ST NE
CAPE CORAL FL 33909

Officer/Director/Trustee Three

JESSICA MYERS
DIRECTOR
1821 4TH AVE
CAPE CORAL FL 33909

Officer/Director/Trustee Four

MIKE WHITTER
VICE PRESIDENT
3330 CORNELL DR
FAYETTEVILLE NC 28306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: No
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 JENNIFER TABORA
Signature Title SECRETARY
Signature Date 6/12/19

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