FORM 1023-EZ for CROSSROADS GROUP OF AA CORPORATION

Field Data
EIN 81-3768541
Case Number EO-2017013-000404
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSROADS GROUP OF AA CORPORATION
Organization’s Mailing Address 5205 S ORANGE AVE SUITE 204
City ORLANDO
State FL
ZIP 32806
Accounting period End 12
Primary contact name FREDERIC C SULLIVAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY PILKENTON
CHAIR
5205 S ORANGE AVE SUITE 204
ORLANDO FL 32806

Officer/Director/Trustee Two

JOHN HAMBRICK
VICE CHAIR
5205 S ORANGE AVE SUITE 204
ORLANDO FL 32806

Officer/Director/Trustee Three

FREDERIC SULLIVAN
TREASURER
5205 S ORANGE AVE SUITE 204
ORLANDO FL 32806

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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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