FORM 1023-EZ for IMMACULATA FOUNDATION INC

Field Data
EIN 81-2094980
Case Number EO-2016102-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IMMACULATA FOUNDATION INC
Organization’s Mailing Address 4265 13TH AVE N
City ST PETERSBURG
State FL
ZIP 33713-4703
Accounting period End 12
Primary contact name JOHN GIOTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN GIOTIS
CHAIRPERSON
4265 13TH AVENUE NORTH
ST. PETERSBURG FL 33713-4703

Officer/Director/Trustee Two

TIM MONTANARI
TREASURER
4265 13TH AVENUE NORTH
ST. PETERSBURG FL 33713-4703

Officer/Director/Trustee Three

CHERYL CARVER
VICE CHAIRPERSON
4265 13TH AVENUE NORTH
ST. PETERSBURG FL 33713-4703

Officer/Director/Trustee Four

JENNIFER STRONG
SECRETARY
4265 13TH AVENUE NORTH
ST. PETERSBURG FL 33713-4703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
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
Signature Title
Signature Date

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