FORM 1023-EZ for BURNT STORE-PPYC CHARITABLE BOATINGFOUNDATION

Field Data
EIN 47-3493524
Case Number EO-2015279-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURNT STORE-PPYC CHARITABLE BOATINGFOUNDATION
Organization’s Mailing Address 1000 MATECUMBE KEY RD
City PUNTA GORDA
State FL
ZIP 33955-4683
Accounting period End 6
Primary contact name JOSEPH HAWLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH HAWLEY
PRESIDENT
1000 MATECUMBE KEY RD
PUNTA GORDA FL 33955-4683

Officer/Director/Trustee Two

CATHLEEN BLEAKLY
VICE PRESIDENT
520 ISLAMORADA BLVD
PUNTA GORDA FL 33955-4683

Officer/Director/Trustee Three

GRAHAM SEGGER
TREASURER
1001 ROMANO KEY CIR
PUNTA GORDA FL 33955-4683

Officer/Director/Trustee Four

CAROLE LICK
SECRETARY
3416A SUNSET KEY CIR
PUNTA GORDA FL 33955-4683

Officer/Director/Trustee Five

THOMAS SCHMITZ
BOARD MEMBER
1060 MATECUMBE KEY RD
PUNTA GORDA FL 33955-4683

Organization’s website NA
Organization’s email HAWLEYPATENT@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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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