FORM 1023-EZ for LYNN HAVEN SENIOR ACTIVITY CENTER INC

Field Data
EIN 84-2850713
Case Number EO-2019241-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYNN HAVEN SENIOR ACTIVITY CENTER INC
Organization’s Mailing Address 905 PENNSYLVANIA AVENUE
City LYNN HAVEN
State FL
ZIP 32444
Accounting period End 1
Primary contact name DONALD MCCOY BALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOB SITTEN
PRESIDENT
704 MICHIGAN AVENUE
LYNN HAVEN FL 32444

Officer/Director/Trustee Two

PEGGY SUSI
VICE PRESIDENT
1201 PENNSYLVANIA AVENUE
LYNN HAVEN FL 32444

Officer/Director/Trustee Three

DON BALL
TREASURER
806 W 3RD STREET
LYNN HAVEN FL 32444

Officer/Director/Trustee Four

MACINEA DOLBY
SECRETARY
3960 ARBOR TRACE DRIVE UNIT M
LYNN HAVEN FL 32444

Officer/Director/Trustee Five

FREDDIE PARHAM
MEMBER AT LARGE
1503 LOUISIANA AVENUE
LYNN HAVEN FL 32444

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 DON BALL
Signature Title TREASURER
Signature Date 8/27/19

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