FORM 1023-EZ for LEWIS E WADSWORTH ELEMENTARY SCHOOL#NAME?

Field Data
EIN 84-1906141
Case Number EO-2019171-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEWIS E WADSWORTH ELEMENTARY SCHOOL#NAME?
Organization’s Mailing Address 4550 BELLE TERRE PARKWAY
City PALM COAST
State FL
ZIP 32164
Accounting period End 12
Primary contact name GRANT RICHTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANELLE GREEN
PRESIDENT
1 WELLESLEY LANE
PALM COAST FL 32164

Officer/Director/Trustee Two

GRANT RICHTER
VICE PRESIDENT
3561 SOUTH CENTRAL AVE UNIT 105
FLAGLER BEACH FL 32136

Officer/Director/Trustee Three

SARAH CASALE
SECRETARY
24 WHITE HAVEN LANE
PALM COAST FL 32164

Officer/Director/Trustee Four

ROBERT HAMLIN JR
TREASURER
27 CLEARVIEW CT S
PALM COAST FL 32137

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 ROBERT HAMLIN JR
Signature Title TREASURER
Signature Date 6/18/19

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