FORM 1023-EZ for KEEP PCB BEAUTIFUL INC

Field Data
EIN 83-1557632
Case Number EO-2018239-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEEP PCB BEAUTIFUL INC
Organization’s Mailing Address 6220 THOMAS DRIVE
City PANAMA CITY BEACH
State FL
ZIP 32408
Accounting period End 12
Primary contact name JOANN WEATHERFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOANN WEATHERFORD
PRESIDENT
6220 THOMAS DRIVE
PANAMA CITY BEACH FL 32408

Officer/Director/Trustee Two

JEFF CLINGER
DIRECTOR
6408 RIVER BLUFF TRAIL
PANAMA CITY BEACH FL 32408

Officer/Director/Trustee Three

KIM CHRISTIAN
DIRECTOR
4737 BIG LEAF LANE
PANAMA CITY BEACH FL 32408

Organization’s website
Organization’s email KEEPPECBEAUTIFUL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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 JOANN WEATHERFORD
Signature Title PRESIDENT
Signature Date 8/23/18

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