FORM 1023-EZ for MOTIV8U OF NORTH CENTRAL FLORIDA INC

Field Data
EIN 83-2850034
Case Number EO-2019105-000621
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTIV8U OF NORTH CENTRAL FLORIDA INC
Organization’s Mailing Address 414 SW 140TH TERRACE SUITE 100
City NEWBERRY
State FL
ZIP 32669
Accounting period End 12
Primary contact name JOHN S ROLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN S ROLLINS
PRESIDENT
2808 NW 128 ROAD
GAINESVILLE FL 32609

Officer/Director/Trustee Two

KAREN ALFORD
DIRECTOR
2941 NW 68 AVENUE
GAINESVILLE FL 32653

Officer/Director/Trustee Three

WANDA HOLMES
DIRECTOR
11415 NW 60 TERRACE
ALACHUA FL 32615

Officer/Director/Trustee Four

JIMMIE WILLIAMS
DIRECTOR
3933 NW 43 COURT
GAINESVILLE FL 32606

Officer/Director/Trustee Five

JOANNE JEAN
DIRECTOR
2725 SW 27 AVENUE APT H6
GAINESVILLE FL 32608

Organization’s website HTTPS://WWW.MOTIV8UOFNCF.COM
Organization’s email JOHN@MOTIV8UOFNCF.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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 JOHN S ROLLINS
Signature Title PRESIDENT
Signature Date 4/13/19

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