FORM 1023-EZ for GENESIS NETWORK

Field Data
EIN 26-3799176
Case Number EO-2015096-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENESIS NETWORK
Organization’s Mailing Address 6655 PINETREE LANE
City MIAMI BEACH
State FL
ZIP 33141
Accounting period End 5
Primary contact name LAUREN SWARTZBAUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADAM SWARTZBAUGH
PRESIDENT
POB 624
KITTERY ME 03904

Officer/Director/Trustee Two

LAUREN SWARTZBAUGH
DIRECTOR
6655 PINETREE LANE
MIAMI BEACH FL 33141

Officer/Director/Trustee Three

MAY SWARTZBAUGH
SECRETARY
POB 624
KITTERY ME 03904

Organization’s website WWW.GNETWORK.ORG
Organization’s email LAUREN@GNETWORK.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2008
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q70 - International Human Rights
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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