FORM 1023-EZ for MIGUEL C FERNANDEZ III HISPANIC BARASSOCIATION INC

Field Data
EIN 85-0565376
Case Number EO-2020154-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIGUEL C FERNANDEZ III HISPANIC BARASSOCIATION INC
Organization’s Mailing Address 1617 HENDRY STREET SUITE 311
City FORT MYERS
State FL
ZIP 33901
Accounting period End 12
Primary contact name NATHAN WINESETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARLA CAMPOS-ANDERSEN
PRESIDENT
1617 HENDRY STREET SUITE 311
FORT MYERS, FL FL 33901

Officer/Director/Trustee Two

KELLY FAYER
VICE PRESIDENT
12601 WORLD PLAZA LN SUITE 2
FORT MYERS FL 33907

Officer/Director/Trustee Three

DENISE FERNANDEZ
SECRETARY
227 NE 22ND AVE
CAPE CORAL FL 33909

Organization’s website
Organization’s email ATTY@YOURFTMYERSATTORNEY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 KELLY FAYER
Signature Title VICE PRESIDENT
Signature Date 5/31/2020

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