FORM 1023-EZ for BEAUTIFULLY UNBLEMISHED VITILIGO SUPPORT GROUP INC

Field Data
EIN 83-2596112
Case Number EO-2021091-001006
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEAUTIFULLY UNBLEMISHED VITILIGO SUPPORT GROUP INC
Organization’s Mailing Address 3322 MAHOGANY POINTE LOOP
City LAKELAND
State FL
ZIP 33810
Accounting period End 12
Primary contact name TONJA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONJA JOHNSON
PRESIDENT
3322 MAHOGANY POINTE LOOP
LAKELAND FL 33810

Officer/Director/Trustee Two

SCOTT WALTERS
TREASURER
19261 BAY LEAF COURT
BOCA RATON FL 33498

Officer/Director/Trustee Three

TONJA VICKERS-ROOK
BOARD OF DIRECTORS
3322 BROKEN BOW DRIVE
LAND O' LAKES FL 34639

Officer/Director/Trustee Four

KASHA JOHNSON
SECRETARY
13233 GRAHAM YARDEN DRIVE
RIVERVIEW FL 33579

Organization’s website WWW.BEAUTIFULLYUNBLEMISHED.COM
Organization’s email INFO@BEAUTIFULLYUNBLEMISHED.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 SCOTT WALTERS
Signature Title TREASURER
Signature Date 2/21/2021

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