FORM 1023-EZ for FONTAINE DRIP INC

Field Data
EIN 83-3349040
Case Number EO-2019087-000492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FONTAINE DRIP INC
Organization’s Mailing Address 702 AVENUE DU FONTAINE BLEAU
City MARY ESTHER
State FL
ZIP 32569-2306
Accounting period End 12
Primary contact name DANIEL MCCLAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MCCLAIN
SCFO
102 AUSTIN CT
MARY ESTHER FL 32569-1396

Officer/Director/Trustee Two

WILLIAM MCNEIL
PRESIDENT
6080 REGENT MANOR
LITHONIA GA 30058-4770

Officer/Director/Trustee Three

ALFONSO LOWRY
CIO
581 CHICOPEE CT APT A
TALLAHASSEE FL 32301-8911

Officer/Director/Trustee Four

TILTON JACKSON
VP
1008 E 13TH CT
PANAMA CITY FL 32401-3301

Officer/Director/Trustee Five

APOLLO WILLIAMS
C00
2559 HIDDEN ESTATES CIR
NAVARRE FL 32566-7843

Organization’s website
Organization’s email FONTAINEDRIPINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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 DANIEL MCCLAIN
Signature Title SCFO
Signature Date 3/26/19

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