FORM 1023-EZ for HERBOSS MEDIA CENTER INC

Field Data
EIN 84-3399887
Case Number EO-2019296-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERBOSS MEDIA CENTER INC
Organization’s Mailing Address 2798 RECKER HWY
City WINTER HAVEN
State FL
ZIP 33880
Accounting period End 12
Primary contact name RENEE HAWK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SATERIA HAWK
CEO
PO BOX 2442
EAGLE LAKE FL 33839

Officer/Director/Trustee Two

JAMES ANDRE
PRESIDENT
115 EDGEWATER DR
WINTER HAVEN FL 33881

Officer/Director/Trustee Three

LATANGI DENNIS
VP
2798 RECKER HWY
WINTER HAVEN FL 33881

Officer/Director/Trustee Four

ANTHONY GIUFFRIDA
SEC
2798 RECKER HWY
WINTER HAVEN FL 33881

Officer/Director/Trustee Five

GLORIA GISSENDANER
OFFICER
2798 RECKER HWY
WINTERHAVEN FL 33881

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B30 - Vocational, Technical Schools
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GLORIA GISSENDANER
Signature Title OFFICER
Signature Date 10/21/19

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