FORM 1023-EZ for HILLSIDE CHRISTIAN ACADEMY INC

Field Data
EIN 81-1400951
Case Number EO-2016113-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILLSIDE CHRISTIAN ACADEMY INC
Organization’s Mailing Address 1575 PAUL RUSSELL ROAD UNIT 2703
City TALLAHASSEE
State FL
ZIP 32301
Accounting period End 12
Primary contact name ASHEN KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRANDI HAYNES
EXECUTIVE DIRECTOR
1575 PAUL RUSSELL RD UNIT 2703
TALLAHASSEE FL 32301

Officer/Director/Trustee Two

MAURICE HAYNES SR
VICE PRESIDENT
1575 PAUL RUSSELL ROAD UNIT 2703
TALLAHASSEE FL 32301

Officer/Director/Trustee Three

IMOGENE FOSTER SIMONS
TREASURER
2618 4TH AVENUE SOUTH
SAINT PETERSBURG FL 33712

Officer/Director/Trustee Four

JANET FITZSIMMONS
TREASURER
2043 28TH STREET SOUTH
SAINT PETERSBURG FL 33712

Officer/Director/Trustee Five

JANICE ANDREWS
SECRETARY
1592 62ND AVENUE SOUTH
SAINT PETERSBURG FL 33705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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