FORM 1023-EZ for PRESERVING SOUTH WALTON INC

Field Data
EIN 83-0524007
Case Number EO-2018212-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRESERVING SOUTH WALTON INC
Organization’s Mailing Address 492 LOBLOLLY BAY DRIVE
City SANTA ROSA BEACH
State FL
ZIP 32459
Accounting period End 12
Primary contact name WILLIAM HERNDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HERNDON
PRESIDENT/DIRECTOR
492 LOBLOLLY BAY DRIVE
SANTA ROSA BEACH FL 32459

Officer/Director/Trustee Two

STEVEN BURNETT
VICE PRESIDENT/ EXECUTIVE DIRECTOR
495 DRIFTWOOD POINT ROAD
SANTA ROSA BEACH FL 32459

Officer/Director/Trustee Three

COLLIN BURNETT
DIRECTOR
495 DRIFTWOOD POINT ROAD
SANTA ROSA BEACH FL 32459

Organization’s website PRESERVESOUTHWALTON.ORG
Organization’s email INFO@PRESERVINGSOUTHWALTON.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 WILLIAM HERNDON
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/27/18

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