FORM 1023-EZ for WITH LOVE ANONYMOUS INC

Field Data
EIN 85-3640587
Case Number EO-2020310-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WITH LOVE ANONYMOUS INC
Organization’s Mailing Address 5826 TAYWOOD DRIVE
City TAMPA
State FL
ZIP 33624
Accounting period End 12
Primary contact name MARY NASTYUKOV-PENNINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY NASTYUKOV-PENNINGTON
EXECUTIVE DIRECTOR
5826 TAYWOOD DRIVE
TAMPA FL 33624

Officer/Director/Trustee Two

ROCHELLE COLBURN
DIRECTOR
32 VISTA WAY
LAKEWOOD NY 14750

Officer/Director/Trustee Three

ANN BROCK
DIRECTOR
4282 AMPED WAY
LAND O LAKES FL 34638

Organization’s website
Organization’s email WITHLOVEMARYRUTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 MARY NASTYUKOV-PENNINGTON
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/3/2020

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