FORM 1023-EZ for URBAN COMPLEXIONS INC

Field Data
EIN 82-5221419
Case Number EO-2018130-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URBAN COMPLEXIONS INC
Organization’s Mailing Address 13402 THOMASVILLE CIRCLE APT A
City TAMPA
State FL
ZIP 33617-9528
Accounting period End 4
Primary contact name CARLA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA DAVIS
PRESIDENT
13402 THOMASVILLE CIRCLE APT A
TAMPA FL 33617

Officer/Director/Trustee Two

SHENITA TERRELL
VICE PRESIDENT
5014 EAST CLUSTER AVENUE
TAMPA FL 33617

Officer/Director/Trustee Three

TERESA JENNINGS
TREASURER
13439 KENT BRADLEY STREET
DADE CITY FL 33525

Officer/Director/Trustee Four

ANGEL RICHARDS
AUTHORIZED AGENT
8319 CANTERBURY LAKE BOULEVARD
TAMPA FL 33619

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development 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 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 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 CARLA DAVIS
Signature Title PRESIDENT
Signature Date 5/7/18

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