FORM 1023-EZ for BLACK HAMMOCK RETREAT INC
| Field | Data |
|---|---|
| EIN | 82-1875870 |
| Case Number | EO-2018008-000023 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACK HAMMOCK RETREAT INC |
| Organization’s Mailing Address | 731 EVENING SKY DRIVE |
| City | OVIEDO |
| State | FL |
| ZIP | 32765-7293 |
| Accounting period End | 12 |
| Primary contact name | GRIMMER MAPP PRESIDENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
GRIMMER MAPP
PRESIDENT
731 EVENING SKY DRIVE
OVIEDO FL 32765-7293
Officer/Director/Trustee Two
MARY CARLISLE
SECRETARY
1360 VAN ARSDALE ST
OVIEDO FL 32765-9281
Officer/Director/Trustee Three
RICHARD GUSTIN
TREASURER
2648 BULLION LOOP
SANFORD FL 32771-5804
| Organization’s website | |
|---|---|
| Organization’s email | BLACKHAMMOCKRETREAT@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/9/17 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A20 - Arts, Cultural Organizations - Multipurpose |
| 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 | GRIMMER MAPP |
| Signature Title | PRESIDENT |
| Signature Date | 1/4/18 |
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