FORM 1023-EZ for SAMARITAN GIRLS INC

Field Data
EIN 45-1189262
Case Number EO-2016350-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMARITAN GIRLS INC
Organization’s Mailing Address 10501 WOOSTER DR
City JACKSONVILLE
State FL
ZIP 32257
Accounting period End 5
Primary contact name INDIA BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

INDIA BROWN CAMPBELL
PRESIDENT
10501 WOOSTER DR
JACKSONVILLE FL 32218

Officer/Director/Trustee Two

NICOLE HARRIS
SECRETARY/TREASURER
10501 WOOSTER DR
JACKSONVILLE FL 32218

Officer/Director/Trustee Three

TAVARES CAMPBELL ABNAR
DIRECTOR
10501 WOOSTER DR
JACKSONVILLE FL 32218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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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