FORM 1023-EZ for CAROL CITY MIDDLE SCHOOL P

Field Data
EIN 65-0547384
Case Number EO-2018225-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAROL CITY MIDDLE SCHOOL P
Organization’s Mailing Address 3737 NW 188TH STREET
City MIAMI GARDENS
State FL
ZIP 33055
Accounting period End 6
Primary contact name SANDRA WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTEE BEMBERY
PRESIDENT
3961 NW 190TH STREET
MIAMI GARDENS FL 33055

Officer/Director/Trustee Two

YANNA FLOWERS
TREASURER
2574 SW 81ST TERRACE UNIT 2582
MIRAMAR FL 33025

Officer/Director/Trustee Three

NICOLE MILLS
SECRETARY
19454 NW 30TH COURT
MIAMI GARDES FL 33056

Officer/Director/Trustee Four

SANDRA WEST
COUNCIL VP
8335 SW 152ND AVE 112B
MIAMI FL 33193

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/95
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
Correctness Declaration Yes
Signature Name SANDRA WEST
Signature Title COUNCIL VP
Signature Date 8/9/18

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