FORM 1023-EZ for STREET WARRIORS OF CENTRAL FLORIDAINC

Field Data
EIN 46-4488454
Case Number EO-2014246-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STREET WARRIORS OF CENTRAL FLORIDAINC
Organization’s Mailing Address 944 E PALMETTO ST
City LAKELAND
State FL
ZIP 33801
Accounting period End 12
Primary contact name ROBERT BLANSFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA SANSOLO
EXECUTIVE DIRECTOR
3345 TIMBERLINE ROAD
EAGLE LAKE FL 33880

Officer/Director/Trustee Two

ROBERT BLANSFIELD
DIRECTOR OF FINANCE
944 PALMETTO ST
LAKELAND FL 33801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 No
One Third Support Gifts Yes
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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