FORM 1023-EZ for GREYHOUND HARBORAGE OF CENTRAL FLORIDA

Field Data
EIN 84-2263787
Case Number EO-2019270-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREYHOUND HARBORAGE OF CENTRAL FLORIDA
Organization’s Mailing Address 5225 BYRON ROAD
City FRUITLAND PARK
State FL
ZIP 34731-6116
Accounting period End 12
Primary contact name PEGGY STASTNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY STASTNY
PRESIDENT
5225 BYRON ROAD
FRUITLAND PARK FL 34731-6116

Officer/Director/Trustee Two

KIM MAXWELL
VICE PRESIDENT
18556 NE 5TH TERRACE ROAD
CITRA FL 32113-2264

Officer/Director/Trustee Three

BERNADETTE HITCHENS
SECRETARY
15813 ARABIAN WAY
MONTVERDE FL 34756-3345

Officer/Director/Trustee Four

TARESA WILLIAMS
TREASURER
5225 BYRON ROAD
FRUITLAND PARK FL 34731-6116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 PEGGY STASTNY
Signature Title PRESIDENT
Signature Date 9/25/19

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