FORM 1023-EZ for ENGLEWOOD COMMUNITY SERVICES INC

Field Data
EIN 82-1498050
Case Number EO-2017251-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENGLEWOOD COMMUNITY SERVICES INC
Organization’s Mailing Address 1701 BEACH ROAD UNIT 302
City ENGLEWOOD
State FL
ZIP 34223
Accounting period End 12
Primary contact name CAROL MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL MOORE
PRESIDENT
1701 BEACH ROAD UNIT 302
ENGLEWOOD FL 34223

Officer/Director/Trustee Two

BOBBIE MARQUIS
VICE PRESIDENT
1701 BEACH ROAD UNIT 302
ENGLEWOOD FL 34223

Officer/Director/Trustee Three

KEITH FARLOW
DIRECTOR
1701 BEACH ROAD UNIT 302
ENGLEWOOD FL 34223

Officer/Director/Trustee Four

JONATHAN VARNER
DIRECTOR
1701 BEACH ROAD UNIT 302
ENGLEWOOD FL 34223

Officer/Director/Trustee Five

ED HILL
DIRECTOR
1701 BEACH ROAD UNIT 302
ENGLEWOOD FL 34223

Organization’s website
Organization’s email ED.HILL@ENGLEWOODCHAMBER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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
Signature Title
Signature Date

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