FORM 1023-EZ for PEARLS OF PALM BEACH FLORIDA INC

Field Data
EIN 86-3712659
Case Number EO-2021272-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEARLS OF PALM BEACH FLORIDA INC
Organization’s Mailing Address 4951 GRINNELL ST
City LAKE WORTH
State FL
ZIP 33463
Accounting period End 12
Primary contact name REGINA HORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINA HORNE
PRESIDENT
4951 GRINNELL ST
LAKE WORTH FL 33463

Officer/Director/Trustee Two

MAHSHA BUTLER
SECRETARY
1716 2ND AVE N APT 11
LAKE WORTH FL 33460

Officer/Director/Trustee Three

ARSADIA WALKER
TREASURER
738 SW 12TH AVE APT 106
DELRAY BEACH FL 33444

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2021
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: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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 REGINA HORNE
Signature Title PRESIDENT
Signature Date 9/27/2021

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