FORM 1023-EZ for GROW BUILD SUCCEED INC

Field Data
EIN 81-4296377
Case Number EO-2016309-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROW BUILD SUCCEED INC
Organization’s Mailing Address PO BOX 1060
City PLYMOUTH
State FL
ZIP 32768
Accounting period End 12
Primary contact name CHAUDRIAN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA GALLAGHER-BADZINSKI
PRESIDENT
1541 ISLAY COURT
APOPKA FL 32712

Officer/Director/Trustee Two

JUDY BUHAY
CHIEF FINANCIAL OFFICER
538 BROADWAY AVENUE
ORLANDO FL 32803

Officer/Director/Trustee Three

DAWN MARTIN
CHAIRMAN
1264 CARDINAL CT
ALTAMONTE SPRINGS FL 32715

Organization’s website NA
Organization’s email PAM@LEGS-THERAPY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 Yes
Unrelated Gross Income $1,000 or More Yes
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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