FORM 1023-EZ for MEN XCLUSIVE ENTERPRISE INC

Field Data
EIN 84-2849624
Case Number EO-2019242-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEN XCLUSIVE ENTERPRISE INC
Organization’s Mailing Address 2905 EGRET WALK TERRACE S
City JACKSONVILLE
State FL
ZIP 32226
Accounting period End 12
Primary contact name MARK GARVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK GAVIN
DIRECTOR
2905 EGRET WALK TERRACE S
JACKSONVILLE FL 32226

Officer/Director/Trustee Two

REGINALD ANDERSON
DIRECTOR
2905 EGRET WALK TERRACE S
JACKSONVILLE FL 32226

Officer/Director/Trustee Three

EARL WILSON
DIRECTOR
2905 EGRET WALK TERRACE S
JACKSONVILLE FL 32226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O21 - Boys Clubs
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 Yes
Donation of funds Yes
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 MARK GAVIN
Signature Title DIRECTOR
Signature Date 8/28/19

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