FORM 1023-EZ for THE FOX FOUNDATION - TAMPA BAY INC

Field Data
EIN 83-2082800
Case Number EO-2018282-000330
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FOX FOUNDATION - TAMPA BAY INC
Organization’s Mailing Address 412 N MADISON ST STE 909
City TAMPA
State FL
ZIP 33602
Accounting period End 12
Primary contact name HULSEY EBANKS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HULSEY EBANKS JR
PRESIDENT, DIRECTOR
412 N MADISON ST STE 909
TAMPA FL 33602

Officer/Director/Trustee Two

CELLISIA EBANKS
SECRETARY, DIRECTOR
412 N MADISON ST STE 909
TAMPA FL 33602

Officer/Director/Trustee Three

TIM HANCOCK
TREASURER, DIRECTOR
412 N MADISON ST STE 909
TAMPA FL 33602

Officer/Director/Trustee Four

BERNARD DIXON
DIRECTOR
412 N MADISON ST STE 909
TAMPA FL 33602

Officer/Director/Trustee Five

MOHAN KANITHI
DIRECTOR
412 N MADISON ST STE 909
TAMPA FL 33602

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 HULSEY EBANKS JR
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/5/18

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