FORM 1023-EZ for LIVING HEALTHY IN FLORIDA INC

Field Data
EIN 46-5074284
Case Number EO-2014275-000551
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING HEALTHY IN FLORIDA INC
Organization’s Mailing Address 600 SOUTH CALHOUN ST
City TALLAHASSEE
State FL
ZIP 32399
Accounting period End 12
Primary contact name BARBARA S WITHERS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL ALLEN
DIRECTOR
PO BOX 220
PAHOKEE FL 33476

Officer/Director/Trustee Two

ADAM FAUROT
DIRECTOR
PO BOX 16575
TALLAHASSEE FL 32317

Officer/Director/Trustee Three

NAGI KUMAR
DIRECTOR
12902 MAGNOLIA DR
TAMPA FL 33612

Officer/Director/Trustee Four

PENNY RALSTON
DIRECTOR
228 SANDALS BUILDING
TALLAHASSEE FL 32306

Officer/Director/Trustee Five

ROBIN SAFLEY
DIRECTOR
600 SOUTH CALHOUN ST
TALLAHASSEE FL 32399

Organization’s website WWW.FRESHFROMFLORIDA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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
Signature Title
Signature Date

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