FORM 1023-EZ for CRESTVIEW AREA SHELTER FOR THE HOMELESS

Field Data
EIN 46-5322450
Case Number EO-2014226-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRESTVIEW AREA SHELTER FOR THE HOMELESS
Organization’s Mailing Address 4131 LAKEVIEW DR
City CRESTVIEW
State FL
ZIP 32539
Accounting period End 12
Primary contact name DOUGLAS PICKLAP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANN SPRAGUE
PRESIDENT
1086 HWY C-4A
BAKER FL 32531

Officer/Director/Trustee Two

DOUGLAS PICKLAP
VICE-PRESIDENT
4131 LAKEVIEW DR
CRESTVIEW FL 32539

Officer/Director/Trustee Three

DAVID HILL
DIRECTOR
5840 CALUMET CT
CRESTVIEW FL 32536

Officer/Director/Trustee Four

GAYLE FREDENBURGH-VICKERS
DIRECTOR
1418 TEXAS PKWY
CRESTVIEW FL 32536

Officer/Director/Trustee Five

CHRIS SNYDER
DIRECTOR
8189 MILLER ST
LAUREL HILL FL 32567

Organization’s website
Organization’s email DOUGAPPLAC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2014
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 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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