FORM 1023-EZ for INTENTIONAL ICON INC

Field Data
EIN 85-0803488
Case Number EO-2020118-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTENTIONAL ICON INC
Organization’s Mailing Address 6809 E IDA ST
City TAMPA
State FL
ZIP 33610
Accounting period End 12
Primary contact name CHIMERE R MORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHIMERE MORRIS
PRESIDENT
6809 E IDA ST
TAMPA FL 33610

Officer/Director/Trustee Two

NICOLE GIBSON
VP
9841 ASHBURN LAKE DR
TAMPA FL 33610

Officer/Director/Trustee Three

CHARMAN BENEMON
DIRECTOR
510 HICKORY LAKE DR
BRANDON FL 33511

Officer/Director/Trustee Four

ANGELINA JONES
DIRECTOR
1719 E CAYUGA ST
TAMPA FL 33610

Officer/Director/Trustee Five

JULIA MORRIS
DIRECTOR
6808 E IDA ST
TAMPA FL 33610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHIMERE MORRIS
Signature Title PRESIDENT
Signature Date 4/23/2020

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