FORM 1023-EZ for THE SOUTH FLORIDA ROLE MODEL FOUNDATION

Field Data
EIN 85-3218550
Case Number EO-2020281-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SOUTH FLORIDA ROLE MODEL FOUNDATION
Organization’s Mailing Address 11346 SW BARTON WAY
City PORT ST LUCIE
State FL
ZIP 34987
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SALVATORE CARDELLA
PRESIDENT
11346 SW BARTON WAY
PORT ST LUCIE FL 34987

Officer/Director/Trustee Two

SHARMARCUS BRYANT
SECRETARY
4978 HAVERHILL POINT DRIVE
HAVERHILL FL 33415

Officer/Director/Trustee Three

XAVIER HALL
TREASURER
12690 CORAL BREEZE DR
WELLINGTON FL 33414

Officer/Director/Trustee Four

LAVONTE CHASTINE
VICE PRESIDENT
162 KENSINGTON WAY
ROYAL PALM BEACH FL 33414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SALVATORE CARDELLA
Signature Title PRESIDENT
Signature Date 10/5/2020

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