FORM 1023-EZ for CLUB LIT INC

Field Data
EIN 81-5389510
Case Number EO-2017118-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLUB LIT INC
Organization’s Mailing Address 807 SHANNON STREET
City TALLAHASSEE
State FL
ZIP 32305
Accounting period End 12
Primary contact name WENDY DESSALINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAPHAELLE EJIMOFOR
CHAIR
3207 JIM LEE ROAD APT D
TALLAHASSEE FL 32310

Officer/Director/Trustee Two

TRACEY WILLIAMS
VICE CHAIR
4365 SUBLIME TRAIL
ATLANTA GA 30349

Officer/Director/Trustee Three

ANTIONETTE BUSH
SECRETARY
1595 BALKIN RD
TALLAHASSEE FL 32305

Organization’s website
Organization’s email CLUBLIT00@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
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: No
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 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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