FORM 1023-EZ for CAMP HUMMINGBIRD SHELTERS AND RETREATS

Field Data
EIN 87-2156847
Case Number EO-2021230-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP HUMMINGBIRD SHELTERS AND RETREATS
Organization’s Mailing Address 15 N OAK ST UNIT 883
City FELLSMERE
State FL
ZIP 32948
Accounting period End 8
Primary contact name JENNIFER MARIE RAHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MARIE RAHM
DIRECTOR
15 N OAK ST UNIT 883
FELLSMERE FL 32948

Officer/Director/Trustee Two

RONALD FOEHRENBACH
TRUSTEE 2
7765 101ST AVE
VERO BEACH FL 32967

Officer/Director/Trustee Three

FRANK NOLAN
OFFICER
878 BARBER ST
SEBASTIAN FL 32958

Organization’s website CAMPHUMMINGBIRD.ORG
Organization’s email CAMPHUMMINGBIRD@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 JENNIFER MARIE RAHM
Signature Title DIRECTOR
Signature Date 8/14/2021

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