FORM 1023-EZ for CPR SAFETY AND HEALTH TRAINING

Field Data
EIN 82-5276810
Case Number EO-2018115-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CPR SAFETY AND HEALTH TRAINING
Organization’s Mailing Address 1031 ROYAL PALM AVE APT 3
City ORLANDO
State FL
ZIP 32809-6762
Accounting period End 1
Primary contact name SHANEEN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANEEN WILLIAMS
PRESIDENT
1031 ROYAL PALM AVE APT 3
ORLANDO FL 32809-6762

Officer/Director/Trustee Two

IRA WILLIAMS
VICE PRESIDENT
5035 WALKER STREET
SAINT CLOUD FL 34771-7888

Officer/Director/Trustee Three

JANET WILLIAMS
TREASURER
5035 WALKER STREET
SAINT CLOUD FL 34771-7888

Officer/Director/Trustee Four

SHAINA MOORE
SECRETARY
1420 LEWIS DRIVE
WILLINGBORO NJ 8046-2566

Officer/Director/Trustee Five

DEIDRE HODGE
PUBLIC RELATIONS
807 NW 135TH WAY
SUNRISE FL 33325-1110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 SHANEEN WILLIAMS
Signature Title PRESIDENT
Signature Date 4/23/18

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