FORM 1023-EZ for HABITAT FOR BEES INC

Field Data
EIN 84-2758262
Case Number EO-2019231-000573
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HABITAT FOR BEES INC
Organization’s Mailing Address 4204 EMPIRE PL
City TAMPA
State FL
ZIP 33610
Accounting period End 12
Primary contact name JOHN D CHAMBERS III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN CHAMBERS
PRES
4204 EMPIRE PL
TAMPA FL 33610

Officer/Director/Trustee Two

MARY HELEN SHAFFER
TRES
11901 4TH ST N UNIT 4202
ST PETERSBURG FL 33716

Officer/Director/Trustee Three

MARC WIESS
VP
25465 SUNNY HALO CT
WESLEY CHAPEL FL 33544

Officer/Director/Trustee Four

JONATHAN ROBERTS
DIRECTOR
11901 4TH ST N UNIT 4202
ST PETERSBURG FL 33716

Officer/Director/Trustee Five

BRITTNEY ALLEN
DIRECTOR
3114 BENDING OAK DR
PLANT CITY FL 33563

Organization’s website
Organization’s email HABITATFORBEESFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JOHN CHAMBERS
Signature Title PRES
Signature Date 8/17/19

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