FORM 1023-EZ for ANDERSON ENTERPRISES 5 INC

Field Data
EIN 83-3764764
Case Number EO-2019126-000516
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDERSON ENTERPRISES 5 INC
Organization’s Mailing Address 122 EAST MAIN STREET
City LAKELAND
State FL
ZIP 33801
Accounting period End 2
Primary contact name LATISHA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATISHA ANDERSON
PRESIDENT
122 EAST MAIN STREET
LAKELAND FL 33801

Officer/Director/Trustee Two

KEVIN ANDERSON
VICE PRESIDENT
122 EAST MAIN STREET
LAKELAND FL 33801

Officer/Director/Trustee Three

DANIEL ANDERSON
BOARD MEMBER
122 EAST MAIN STREET
LAKELAND FL 33801

Officer/Director/Trustee Four

ISAIAH ANDERSON
BOARD MEMBER
122 EAST MAIN STREET
LAKELAND FL 33801

Officer/Director/Trustee Five

MALACHI ANDERSON
BOARD MEMBER
122 EAST MAIN STREET
LAKELAND FL 33801

Organization’s website HTTPS://WWW.EMBRACEYOURUGLY.ORG
Organization’s email LATISHA@LLANDERSON.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
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 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 LATISHA ANDERSON
Signature Title PRESIDENT
Signature Date 5/3/19

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