FORM 1023-EZ for AGE QUOD AGIS S A A INC

Field Data
EIN 81-1031709
Case Number EO-2019081-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGE QUOD AGIS S A A INC
Organization’s Mailing Address 7170 NW
City 46TH COURT
State NY
ZIP 33319
Accounting period End 6
Primary contact name ALBERGA HARRIOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE GRAY
PRESIDENT
7121 NW 48TH WAY
COCONUT CREEK FL 33073

Officer/Director/Trustee Two

BRIAN STODDART
VICE PRESIDENT
7170 NW 46TH COURT
LAUDERHILL FL 33319

Officer/Director/Trustee Three

SHELDON LAWRENCE
DEPUTY VICE PRESIDENT
7070 NW 46TH COURT
LAUDERHILL FL 33319

Officer/Director/Trustee Four

WINSTON OCONNOR
DEPUTY VICE PRESIDENT
7170 NW 46TH COURT
LAUDERHILL FL 33319

Officer/Director/Trustee Five

SHEMIAH HOHN
TREASURER
7170 NW 46TH STREET
LAUDERHILL FL 33319

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Conducting Activities Outside of United States Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDRE GRAY
Signature Title PRESIDENT
Signature Date 3/20/19
EIN 81-1031709
Case Number EO-2018033-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AGE QUOD AGIS S A A INC
Organization’s Mailing Address 7170 NW
City 46TH COURT
State NY
ZIP 33319
Accounting period End 6
Primary contact name ALBERGA HARRIOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRE GRAY
PRESIDENT
7121 NW 48TH WAY
COCONUT CREEK FL 33073

Officer/Director/Trustee Two

BRIAN STODDART
VICE PRESIDENT
7170 NW 46TH COURT
LAUDERHILL FL 33319

Officer/Director/Trustee Three

SHELDON LAWRENCE
DEPUTY VICE PRESIDENT
7070 NW 46TH COURT
LAUDERHILL FL 33319

Officer/Director/Trustee Four

WINSTON OCONNOR
DEPUTY VICE PRESIDENT
7170 NW 46TH COURT
LAUDERHILL FL 33319

Officer/Director/Trustee Five

SHEMIAH HOHN
TREASURER
7170 NW 46TH STREET
LAUDERHILL FL 33319

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Conducting Activities Outside of United States Yes
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 ANDRE GRAY
Signature Title PRESIDENT
Signature Date 1/31/18

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