FORM 1023-EZ for PALM HARBOR CARES

Field Data
EIN 85-1002501
Case Number EO-2020302-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PALM HARBOR CARES
Organization’s Mailing Address P O BOX 1082
City CRYSTAL BEACH
State FL
ZIP 34681-1082
Accounting period End 12
Primary contact name LAUREN GOAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN GOAD
PRESIDENT
289 SANCTUARY DRIVE
CRYSTAL BEACH FL 34681

Organization’s website www.palmharborcares.org
Organization’s email info@palmharborcares.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAUREN GOAD
Signature Title PRESIDENT
Signature Date 10/26/2020

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