FORM 1023-EZ for THE SOUTH FLORIDA ROCK AND ROLL MUSEUM INC

Field Data
EIN 84-3180255
Case Number EO-2021250-000717
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SOUTH FLORIDA ROCK AND ROLL MUSEUM INC
Organization’s Mailing Address 136 GREENBRIER DR
City PALM SPRINGS
State FL
ZIP 33461
Accounting period End 5
Primary contact name MELINDA MCGILLIVRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELINDA MCGILLIVRAY
CEO
428 SAN MATEO DR
PALM SPRINGS FL 33461

Officer/Director/Trustee Two

KENNETH DAVIDOFF
CHAIRMEN
136 GREENBRIER DR
PALM SPRINGS FL 33461

Organization’s website WWW.FACEBOOK.COM SFLROCKNROLLMUSEUM
Organization’s email SFLROCKNROLLMUSEUM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A54 - History Museums
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 MELINDA MCGILLIVRAY
Signature Title CEO
Signature Date 9/4/2021

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