FORM 1023-EZ for TIME TO GIVE BACK CLUB

Field Data
EIN 82-4653868
Case Number EO-2019065-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIME TO GIVE BACK CLUB
Organization’s Mailing Address 1791 WADING HERON WAY
City THE VILLAGES
State FL
ZIP 32163
Accounting period End 12
Primary contact name KEVIN PAUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN PAUTLER
CO-CHAIRMAN
1791 WADING HERON WAY
THE VILLAGES FL 32163

Officer/Director/Trustee Two

JOY PAUTLER
CO-CHAIRMAN
1791 WADING HERON WAY
THE VILLAGES FL 32163

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 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 KEVIN PAUTLER
Signature Title CO-CHAIRMAN
Signature Date 3/4/19

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