FORM 1023-EZ for SPYC CHRISTMAS BOUTIQUE FOUNDATION

Field Data
EIN 47-4846911
Case Number EO-2016195-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPYC CHRISTMAS BOUTIQUE FOUNDATION
Organization’s Mailing Address C/O 3817 50TH AVENUE S
City ST PETERSBURG
State FL
ZIP 33711
Accounting period End 12
Primary contact name CAROL HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL HANSEN
TREASURER
3827 50TH AVENUE S
ST. PETERSBURG FL 33711

Officer/Director/Trustee Two

JOANNE SIMMONS
CHAIRMAN
1073 79TH STREET S
ST PETERSBURG FL 33707

Officer/Director/Trustee Three

NANCY SHIVERS
DIRECTOR
219 8TH STREET E
TIERRA VERDE FL 33715

Officer/Director/Trustee Four

JOY RUDNICKI
DIRECTOR
2714 COFFEE POT BLVD
ST PETERSBURG FL 33704

Organization’s website
Organization’s email SPYCBOUTIQUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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