FORM 1023-EZ for MT OLIVE AFFORDABLE HOUSING & DCD INC

Field Data
EIN 30-1210847
Case Number EO-2019310-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MT OLIVE AFFORDABLE HOUSING & DCD INC
Organization’s Mailing Address 644 W BREVARD ST
City TALLAHASSEE
State FL
ZIP 32304
Accounting period End 12
Primary contact name HILLARD GOLDSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM BAKER
DIRECTOR
308 WEST BREVARD ST
TALLAHASSEE FL 32301

Officer/Director/Trustee Two

JAMES BELLAMY
DIRECTOR
532 W GEORGIA ST
TALLAHASSEE FL 32301

Officer/Director/Trustee Three

ALLEZO OWENS
DIRECTOR
PO BOX 6364
TALLAHASSEE FL 32314

Officer/Director/Trustee Four

DARRELL LAWRENCE
DIRECTOR
629 W BREVARD ST
TALLAHASSEE FL 32304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 WILLIAM BAKER
Signature Title DIRECTOR
Signature Date 11/4/19

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