FORM 1023-EZ for GOOD TIMES ASSISTED LIVING INC

Field Data
EIN 83-2107705
Case Number EO-2018340-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD TIMES ASSISTED LIVING INC
Organization’s Mailing Address 616 HAMPTON AVENUE
City TALLAHASSEE
State FL
ZIP 32310
Accounting period End 10
Primary contact name STAFFOR VINCENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCENT STAFFORD
PRESIDENT
5722 VILLAGE POND CIRCLE
JACKSONVILLE FL 32311

Officer/Director/Trustee Two

JACK APPIAHOFORI
CHAIRMAN
5600 HAMPTON HILL CIRCLE
TALLAHASSEE FL 32311

Officer/Director/Trustee Three

JASMINE HUNT
VICE CHAIRMAN
2074 MEDYETTE RD
TALLAHASSEE FL 32301

Officer/Director/Trustee Four

SYLVIA APPIAHOFOEI
SECRETARY
5600 HAMPTON HILL CIRCLE
TALLAHASSEE FL 32222

Officer/Director/Trustee Five

JOSEPH OSAM-PINANKO
TREASURE
730 RIGGINS ROAD
TALLAHASSEE FL 32308

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L24 - Disability Housing
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 VINCENT STAFFORD
Signature Title PRESIDENT
Signature Date 12/4/18

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