FORM 1023-EZ for THE TOM WATTSON MEMORIAL INC

Field Data
EIN 83-1780863
Case Number EO-2018249-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TOM WATTSON MEMORIAL INC
Organization’s Mailing Address 2584 CLIFTON BRYAN RD
City ZOLFO SPRINGS
State FL
ZIP 33890
Accounting period End 12
Primary contact name JOHN MOSELEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN MOSELEY
DIRECTOR
2584 CLIFTON BRYAN RD
ZOLFO SPRINGS FL 33890

Officer/Director/Trustee Two

FAYE MOSELEY
DIRECTOR
2584 CLIFTON BRYAN RD
ZOLFO SPRINGS FL 33890

Officer/Director/Trustee Three

CINDY KING
DIRECTOR
16 EAST KENDALL BLVD
AVON PARK FL 33825

Officer/Director/Trustee Four

TONY KING
DIRECTOR
16 EAST KENDALL BLVD
AVON PARK FL 33825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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 JOHN MOSELEY
Signature Title DIRECTOR
Signature Date 9/4/18

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