FORM 1023-EZ for PROJECT BASED LEARNING INC

Field Data
EIN 47-2813650
Case Number EO-2015299-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT BASED LEARNING INC
Organization’s Mailing Address 3150 S BABCOCK SUITE P
City MELBOURNE
State FL
ZIP 32901
Accounting period End 1
Primary contact name TABITHA BEAVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TABITHA BEAVERS
PRESIDENT / CEO
1784 SAWGRASS DR SW
PALM BAY FL 32908

Officer/Director/Trustee Two

MICHELLE BEAVERS
DIRECTOR
1784 SAWGRASS DR SW
PALM BAY FL 32908

Officer/Director/Trustee Three

MARTIN GALLAGHER
DIRECTOR
443 PHILADELPHIA CIR
KISSIMMEE FL 34746

Officer/Director/Trustee Four

RUSS VAN IDERSTINE
DIRECTOR
4211 ROSEWOOD AVE
MALABAR FL 32950

Officer/Director/Trustee Five

ANITA VAN IDERSINE
DIRECTOR
4211 ROSEWOOD AVE
MALABAR FL 32950

Organization’s website SPACECOASTFABLAB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - 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
Signature Title
Signature Date

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