FORM 1023-EZ for SIMPLY AMAZING INC

Field Data
EIN 38-4060532
Case Number EO-2018247-000584
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMPLY AMAZING INC
Organization’s Mailing Address 157 PEREGRINE COURT
City WINTER SPRINGS
State FL
ZIP 32708
Accounting period End 12
Primary contact name SUSAN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN SMITH
PRESIDENT
157 PEREGRINE COURT
WINTER SPRINGS FL 32708

Officer/Director/Trustee Two

JACOB SMITH
VICE PRESIDENT
100 WEST GRANT STREET APT 2026
ORLANDO FL 32806

Officer/Director/Trustee Three

MARK HIETPAS
DIRECTOR
157 PEREGRINE COURT
WINTER SPRINGS FL 32708

Officer/Director/Trustee Four

PETER WALTS
DIRECTOR
1045 LIMEKILN PIKE
AMBLER PA 19002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUSAN SMITH
Signature Title PRESIDENT
Signature Date 8/31/18

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