FORM 1023-EZ for OUR FATHERS STOREHOUSE OF TAYLOR COUNTY

Field Data
EIN 83-2038600
Case Number EO-2019071-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR FATHERS STOREHOUSE OF TAYLOR COUNTY
Organization’s Mailing Address 212 E ASH STREET
City PERRY
State FL
ZIP 32347-1811
Accounting period End 12
Primary contact name RICHARD PATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD PATRICK
PRESIDENT
203 E TIMBERLANE ST
PERRY FL 32347-1411

Officer/Director/Trustee Two

PEGGY SISK
VICE PRESIDENT
1402 MORGAN WHIDDON RD
PERRY FL 32347-2141

Officer/Director/Trustee Three

PHYLLIS MCCALL
TREASURER
7150 VALHALLA RANCH DR
PERRY FL 32348-5799

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 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 RICHARD PATRICK
Signature Title PRESIDENT
Signature Date 3/7/19

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