FORM 1023-EZ for STEPHANIE NICOLE ROSS FOUNDATION INC

Field Data
EIN 47-1560824
Case Number EO-2014269-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEPHANIE NICOLE ROSS FOUNDATION INC
Organization’s Mailing Address 4014 GLEN GARRY ROAD EAST
City LAKELAND
State FL
ZIP 33813
Accounting period End 12
Primary contact name TRACEY STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACEY STEPHENS
PRESIDENT
4014 GLEN GARRY ROAD EAST
LAKELAND FL 33813

Officer/Director/Trustee Two

DAVID REAMER
VICE-PRESIDENT
814 WEST ADALEE STREET
TAMPA FL 33603

Officer/Director/Trustee Three

JULIA SMITH
SECRETARY/TREASURER
1914 PAWNEE TRAIL
LAKELAND FL 33803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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