FORM 1023-EZ for WAN BARK FOUNDATION INC

Field Data
EIN 35-2619570
Case Number EO-2018066-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAN BARK FOUNDATION INC
Organization’s Mailing Address 13750 WEST COLONIAL DR STE 350-138
City WINTER GARDEN
State FL
ZIP 34787
Accounting period End 6
Primary contact name WANDA BARKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WANDA BARKLEY
DIRECTOR
13750 WEST COLONIAL DR STE 350-138
WINTER GARDEN FL 34787

Officer/Director/Trustee Two

TRACEY STALLWORTH
NON-VOTING MEMBER
PO BOX 21346
TALLAHASSEE FL 32316

Officer/Director/Trustee Three

ALLISON STALLWORTH
PRESIDENT
PO BOX 21346
TALLAHASSEE FL 32316

Officer/Director/Trustee Four

MARVIN SCOTT
VICE PRESIDENT
190 COTILLION CIRCLE
TALLAHASSEE FL 32312

Officer/Director/Trustee Five

GAIL DAVISON
TREASURER
140 NW 14TH STREET
DANIA BEACH FL 33004

Organization’s website
Organization’s email BARKLEYWANDA24@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 WANDA BARKLEY
Signature Title DIRECTOR
Signature Date 3/5/18

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