FORM 1023-EZ for SAFETY AS FDOT ENVISIONS CORPORATION

Field Data
EIN 82-4370435
Case Number EO-2018179-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFETY AS FDOT ENVISIONS CORPORATION
Organization’s Mailing Address 749 SAINT ALBANS DRIVE
City BOCA RATON
State FL
ZIP 33486
Accounting period End 12
Primary contact name JOHN MORGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN MORGAN
PRESIDENT
749 SAINT ALBANS DRIVE
BOCA RATON FL 33486

Officer/Director/Trustee Two

JAMES SMITH
CHAIRMAN
1225 S OCEAN BLVD SUITE 202
DELRAY BEACH FL 33483

Officer/Director/Trustee Three

BARRY FELDMAN
TREASURER
100 C WEST CODA CIRCLE
DELRAY BEACH FL 33444

Officer/Director/Trustee Four

CHARLYNE SMITH
SECRETARY
1225 S OCEAN BLVD SUITE 202
DELRAY BEACH FL 33483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 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 JOHN MORGAN
Signature Title PRESIDENT
Signature Date 6/26/18

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