FORM 1023-EZ for SW FLORIDA SHIELD FOUNDATION INC

Field Data
EIN 81-4368051
Case Number EO-2019163-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SW FLORIDA SHIELD FOUNDATION INC
Organization’s Mailing Address 303 MAPLE AVE N
City LEHIGH ACRES
State FL
ZIP 33936
Accounting period End 12
Primary contact name JAMES BRANHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES BRANHAM
DIRECTOR AND PRESIDENT
303 MAPLE AVE N
LEHIGH ACRES FL 33936

Officer/Director/Trustee Two

SUSAN SURAN-CRASKE
DIRECTOR/VP/TREASURER
303 MAPLE AVE N
LEHIGH ACRES FL 33936

Officer/Director/Trustee Three

KAREN AMBROSE
DIRECTOR AND SECRETARY
303 MAPLE AVE N
LEHIGH ACRES FL 33936

Organization’s website SWFLORIDASHIELD.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 Yes
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 JAMES BRANHAM
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/10/19

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