FORM 1023-EZ for JUST AN ACCIDENT STOP-HIT AND RUNS INCORPORATED

Field Data
EIN 81-4590926
Case Number EO-2017100-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUST AN ACCIDENT STOP-HIT AND RUNS INCORPORATED
Organization’s Mailing Address 5109 SW 139TH AVENUE
City MIRAMAR
State FL
ZIP 33027
Accounting period End 12
Primary contact name TL COVERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOLANDA GREEN SAMUEL
PRESIDENT
5109 SW 139TH AVENUE
MIRAMAR FL 33027

Officer/Director/Trustee Two

ISHMAEL SAMUEL
VICE PRESIDENT
5109 SW 139 AVENUE
MIRAMAR FL 33027

Officer/Director/Trustee Three

NELLIE GREEN
VICE PRESIDENT
6246 NW 171ST STREET
HIALEAH FL 33015

Officer/Director/Trustee Four

DANIEL WILLIAMS
VICE PRESIDENT
3800 INVERARRY BLVD
LAUDERHILL FL 33319

Officer/Director/Trustee Five

PAULA MOSLEY
VICE PRESIDENT
15900 SW 104TH COUR
MIAMI FL 33157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I23 - Drunk Driving Related
Organization’s purpose Charitable: Yes
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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