FORM 1023-EZ for COVID PANDEMIC MEMORIAL

Field Data
EIN 85-3419329
Case Number EO-2020295-000476
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVID PANDEMIC MEMORIAL
Organization’s Mailing Address 9693 NORTH SANDREE DRIVE
City CITRUS SPRINGS
State FL
ZIP 34434
Accounting period End 12
Primary contact name STEVEN REISERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN REISERT
PRESIDENT
9693 NORTH SANDREE DRIVE
CITRUS SPRINGS FL 34434

Officer/Director/Trustee Two

NICHOLAS TROTTER
VICE PRESIDENT
9693 NORTH SANDREE DRIVE
CITRUS SPRINGS FL 34434

Officer/Director/Trustee Three

GEORGE MCCOSKEY
DIRECTOR
9693 NORTH SANDREE DRIVE
CITRUS SPRINGS FL 34434

Organization’s website WWW.COVIDPANDEMICMEMORIAL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A84 - Commemorative Events
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 STEVEN REISERT
Signature Title PRESIDENT
Signature Date 10/13/2020

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