FORM 1023-EZ for THE BONE VALLEY DREAM CENTER

Field Data
EIN 84-3978700
Case Number EO-2020016-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BONE VALLEY DREAM CENTER
Organization’s Mailing Address 1253
City MULBERRY
State FL
ZIP 33860-1253
Accounting period End 12
Primary contact name BRIAN LANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN LANE
PRESIDENT
4727 HICKORY STREAM LN
MULBERRY FL 33860

Officer/Director/Trustee Two

LISA KRZYWKOWSKI
SECRETARY
6344 PROMINENCE POINT DR
LAKELAND FL 33813

Officer/Director/Trustee Three

SANDRA LAMONS
TREASURER
1150 EWELL RD
LAKELAND FL 33811

Officer/Director/Trustee Four

TARREL DAVIS
DIRECTOR
1392 N CHURCH AVE
MULBERRY FL 33860

Organization’s website WWW.BONEVALLEYDREAMCENTER.ORG
Organization’s email BONEVALLEYDREAMCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Correctness Declaration Yes
Signature Name BRIAN LANE
Signature Title PRESIDENT
Signature Date 1/14/2020

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