FORM 1023-EZ for BROWARD ASSOCIATION OF HEALTH UNDERWRITERS

Field Data
EIN 26-1823617
Case Number EO-2014350-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROWARD ASSOCIATION OF HEALTH UNDERWRITERS
Organization’s Mailing Address 4312 DIAMOND TERRACE
City WESTON
State FL
ZIP 33331
Accounting period End 6
Primary contact name ARIADNA EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARIADNA EVANS
DP
4312 DIAMOND TERR
WESTON FL 33331

Officer/Director/Trustee Two

KEVIN FARRELL
D
4322 DANIELSON DR
LAKE WORTH FL 33467

Officer/Director/Trustee Three

COREY MERSHON
DPE
12235 SW 101 TERR
MIAMI FL 33186

Organization’s website WWW.BAHU.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2010
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S41 - Promotion of Business
Organization’s purpose Charitable: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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