FORM 1023-EZ for PREMIER BENEVOLENT INITIATIVE INC

Field Data
EIN 82-4287911
Case Number EO-2018214-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREMIER BENEVOLENT INITIATIVE INC
Organization’s Mailing Address 601 N CONGRESS AVE SUITE 421
City DELRAY BEACH
State FL
ZIP 33445
Accounting period End 12
Primary contact name JEAN RAYMOND PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN RAYMOND
PRESIDENT
601 N CONGRESS AVE SUITE 421
DELRAY BEACH FL 33445

Officer/Director/Trustee Two

REBECCA RAYMOND
SECRETARY
251 W DEKALB PIKE APT E720
KING OF PRUSSIA PA 19406-2421

Officer/Director/Trustee Three

JUDE AVRIL
TREASURER
301 W ATLANTIC AVE SUITE 0-5
DELRAY BEACH FL 33445-3687

Organization’s website
Organization’s email JEANRAYMOND61@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 JEAN RAYMOND
Signature Title PRESIDENT
Signature Date 7/31/18

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