FORM 1023-EZ for THE QUEEN ACADEMY INC

Field Data
EIN 83-2661787
Case Number EO-2018346-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE QUEEN ACADEMY INC
Organization’s Mailing Address 2582 MAGUIRE ROAD SUITE 126
City OCOEE
State FL
ZIP 34761
Accounting period End 12
Primary contact name GABRIELLE AGNEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GABRIELLE AGNEW
PRESIDENT, CEO, CFO
1991 RATON RD
APOPKA FL 32703

Officer/Director/Trustee Two

SHIRLEY DAVIS
CHAIR OF THE BOARD OF DIRECTORS
19070 LUTTERWORTH COURT
LAND O LAKES FL 34638

Officer/Director/Trustee Three

CAROLYN WASHINGTON
CO-CHAIR OF THE BOARD OF DIRECTORS
4111 BLACKSNAKE DRIVE
TEMPLE HILLS MD 20748

Organization’s website
Organization’s email QUEENACADEMYINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 Yes
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 GABRIELLE AGNEW
Signature Title PRESIDENT, CEO, CFO
Signature Date 12/9/18

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