FORM 1023-EZ for HOMETOWN KEY WEST INC

Field Data
EIN 47-4776074
Case Number EO-2016060-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMETOWN KEY WEST INC
Organization’s Mailing Address 2908 SEIDENBERG AVE
City
State FL
ZIP 33040
Accounting period End 12
Primary contact name SHELDON DAVIDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD GERMAN
PRESIDENT
22987 REDFISH LANE
CUDJOE KEY FL 33040

Officer/Director/Trustee Two

RICHARD GRUSIN
VICE PRESIDENT
2318 STAPLES AVE
KEY WEST FL 33040

Officer/Director/Trustee Three

SHELDON DAVIDSON
SECRETARY
1312 OLIVIA ST
KEY WEST FL 33040

Officer/Director/Trustee Four

MARK BAILEY
TREASURER
2908 SEIDENBERG AVE
KEY WEST FL 33040

Officer/Director/Trustee Five

CAROL WIGHTMAN
DIRECTOR
108 FRONT ST
KEY WEST FL 33040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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