FORM 1023-EZ for DESTINED 4 PERFECTION TRANSITIONALLIVING INC

Field Data
EIN 85-2789347
Case Number EO-2020246-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DESTINED 4 PERFECTION TRANSITIONALLIVING INC
Organization’s Mailing Address 16579 SW 1ST ST
City PEMBROKE PINES
State FL
ZIP 33027
Accounting period End 12
Primary contact name KIMBELEE BLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBELEE BLACK
PRESIDENT
16579 SW 1ST STREET
PEMBROKE PINES FL 33027

Officer/Director/Trustee Two

KEITH HUMES
VICE PRESIDENT
5724 SW 19TH ST
WEST PARK FL 33023

Officer/Director/Trustee Three

HENRY GRAY
TREASURY
20610 NW 34TH AVE
MIAMI GARDENS FL 33056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 KIMBELEE BLACK
Signature Title PRESIDENT
Signature Date 8/31/2020

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