FORM 1023-EZ for FL BEHAVIORAL CENTERS CORP

Field Data
EIN 84-3790580
Case Number EO-2019340-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FL BEHAVIORAL CENTERS CORP
Organization’s Mailing Address 1860 NORTH PINE ISLAND ROAD 103
City PLANTATION
State FL
ZIP 33322
Accounting period End 12
Primary contact name JAVIER H RIAMBAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAVIER H RIAMBAU
PRESIDENT
1860 NORTH PINE ISLAND ROAD 103
PLANTATION FL 33322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JAVIER H RIAMBAU
Signature Title PRESIDENT
Signature Date 12/4/2019

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