FORM 1023-EZ for GAMMA BETA CHI NATIONAL SERVICE FRATERNITY INC - ALPHA CHAPTER

Field Data
EIN 82-4889239
Case Number EO-2019291-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GAMMA BETA CHI NATIONAL SERVICE FRATERNITY INC - ALPHA CHAPTER
Organization’s Mailing Address 404 NW 3RD AVE
City HALLANDALE BEACH
State FL
ZIP 33009
Accounting period End 12
Primary contact name DELVIS ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELVIS ROGERS
PRESIDENT
404 NW 3RD AVE
HALLANDALE BEAC FL 33009

Officer/Director/Trustee Two

EVENS FRANCOIS
VICE PRESIDENT
1843 SW 66TH AVE
NORTH LAUDERDALE FL 33068

Officer/Director/Trustee Three

ASHLEY SMART
SECRETARY
2841 NW 20TH AVE
FORT LAUDERDALE FL 33311

Officer/Director/Trustee Four

JARROD MILLS
TREASURER
3 SPINNING WHEEL LANE
TAMARAC FL 33319

Organization’s website WWW.GAMMABETACHI.WORDPRESS.COM
Organization’s email GBXALPHACHAPTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S82 - Men's Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 DELVIS ROGERS
Signature Title PRESIDENT
Signature Date 10/16/19

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