FORM 1023-EZ for HENDRY GLADES BAR ASSOCIATION INC

Field Data
EIN 26-4182666
Case Number EO-2020196-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENDRY GLADES BAR ASSOCIATION INC
Organization’s Mailing Address 1045 PRATT BLVD
City LABELLE
State FL
ZIP 33935
Accounting period End 12
Primary contact name JOHN JAY WATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARK CARY
PRESIDENT
1045 PRATT BLVD
LABELLE FL 33935

Officer/Director/Trustee Two

KIMBERLEE MITTON
VICE-PRESIDENT
1045 PRATT BLVD
LABELLE FL 33935

Officer/Director/Trustee Three

DANIEL BUSEY
SECRETARY TREASURER
P O BOX 486
LABELLE FL 33975

Organization’s website
Organization’s email HENDRYGLADESBAR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2009
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I03 - Professional Societies, Associations
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 CLARK CARY
Signature Title PRESIDENT
Signature Date 6/11/2020

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