FORM 1023-EZ for CREVON LEBLLANC FOUNDATION

Field Data
EIN 82-1209344
Case Number EO-2017240-000425
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREVON LEBLLANC FOUNDATION
Organization’s Mailing Address 5795 BARBADOS WAY WEST
City WEST PALM BEACH
State FL
ZIP 33408
Accounting period End 12
Primary contact name ASHLEY LINNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWANDA LEBLANC
PRESIDENT
5795 BARBADOS WAY WEST
WEST PALM BEACH FL 33408

Officer/Director/Trustee Two

ASHLEY LINNELL
VICE PRESIDENT
4762 VICTORIA CIRECLE
WEST PALM BEACH FL 33409

Officer/Director/Trustee Three

CONSTANCE VEREEN
TREASURER
380 SW 8TH STREET
BELLE GLADE FL 33430

Organization’s website
Organization’s email CLEBLANC.ENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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