FORM 1023-EZ for DEPEND ON A FRIEND

Field Data
EIN 47-5497981
Case Number EO-2018197-000416
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEPEND ON A FRIEND
Organization’s Mailing Address 9615 TRIVOLO PLACE
City BOCA RATON
State FL
ZIP 33434
Accounting period End 12
Primary contact name DANA LA BRUYERE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA LA BRUYERE
PRESIDENT
9615 TRIVOLO PLACE
BOCA RATON FL 33434

Officer/Director/Trustee Two

JERRY WILCOX
VICE PRESIDENT
5496 NW 56TH DRIVE
COCONUT CREEK FL 33073

Officer/Director/Trustee Three

REBECCA BROCARD-SANTIAGO
TREASURER
1400 SW 16TH STREET
BOCA RATON FL 33486

Organization’s website WWW.DEPENDONAFRIEND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/15
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANA LA BRUYERE
Signature Title PRESIDENT
Signature Date 7/13/18

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