FORM 1023-EZ for APACHE TRIBE INC

Field Data
EIN 84-3933996
Case Number EO-2020219-000024
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APACHE TRIBE INC
Organization’s Mailing Address 9350 CONROY WINDERMERE RD
City WINDERMERE
State FL
ZIP 34786
Accounting period End 12
Primary contact name MICHELLE DADISMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HENRY RUGGIERI
DIRECTOR
8408 LAKE BURDEN DRIVE
WINDERMERE FL 34786

Officer/Director/Trustee Two

ALEXANDER MANNELLA
DIRECTOR
9602 MAYWOOD DRIVE
WINDERMERE FL 34786

Officer/Director/Trustee Three

NICHOLAS BEUCHER III
DIRECTOR
6900 TAVISTOCK LAKES BLVD STE 200
ORLANDO FL 32827

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 NICHOLAS BEUCHER III
Signature Title DIRECTOR
Signature Date 8/4/2020

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