FORM 1023-EZ for LEWIS TRANSITIONAL HOME INC
| Field | Data |
|---|---|
| EIN | 10-0821026 |
| Case Number | EO-2015083-000048 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LEWIS TRANSITIONAL HOME INC |
| Organization’s Mailing Address | 2220 NW 41ST AVE |
| City | COCONUT CREEK |
| State | FL |
| ZIP | 33066 |
| Accounting period End | 12 |
| Primary contact name | NIKITRESS LEWIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
WILLIAM LEWIS
PD
2220 NW 41ST AVE
COCONUT CREEK FL 33066
Officer/Director/Trustee Two
NIKITRESS LEWIS
VD
2220 NW 41ST AVE
COCONUT CREEK FL 33066
Officer/Director/Trustee Three
KURMITRISS SMITH
SD
1901 NW 2ND TERR
POMPANO BEACH FL 33060
Officer/Director/Trustee Four
SYLATHA FLAGLER
TD
521 SW11TH STREET
DEERFIELD BEACH FL 33441
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/31/2005 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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