FORM 1023-EZ for GLAM OF NORTHEAST FLORIDA INC

Field Data
EIN 81-1135003
Case Number EO-2016025-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLAM OF NORTHEAST FLORIDA INC
Organization’s Mailing Address 15124 BAREBACK DRIVE
City JACKSONVILLE
State FL
ZIP 32234
Accounting period End 12
Primary contact name REGINA MCCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MAURICE CURTIS
P
15620 NW 134TH TERRACE
ALACHUA FL 32615

Officer/Director/Trustee Two

TIFFANY ADAMS
VP
3140 FRANKLIN ST 1112
JACKSONVILLE FL 32206

Officer/Director/Trustee Three

THEOLA PARKER
S
14629 O E GUNTER RD
SANDERSON FL 32087

Officer/Director/Trustee Four

REGINA MCCRAY
PROGRAM DIRECTOR
15124 BAREBACK DRIVE
JACKSONVILLE FL 32234

Organization’s website WWW.GLAMNEFL.ORG
Organization’s email GLAMNEFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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