FORM 1023-EZ for AFRICAN AMERICAN ASSOCIATION OF DELTONA INC

Field Data
EIN 59-3643817
Case Number EO-2020139-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFRICAN AMERICAN ASSOCIATION OF DELTONA INC
Organization’s Mailing Address 1206 MARTIN LUTHER KING JR BLVD
City SAVANNAH
State GA
ZIP 31415
Accounting period End 12
Primary contact name JACQUELINE POOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL WILLIAMS
PRESIDENT
2889
DELTONA FL 32738

Officer/Director/Trustee Two

FANNIE JACKSON-DIAZ
SECRETARY
1717 HERNANDO AVE
DELTONA FL 32725

Officer/Director/Trustee Three

GLORIA WILLIAMS
TREASURER
2889 COTTAGEVILLE STREET
DELTONA FL 32738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MICHAEL WILLIAMS
Signature Title PRESIDENT
Signature Date 5/14/2020
EIN 59-3643817
Case Number EO-2020188-000271
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM INCORPORATED 1 INC
Organization’s Mailing Address 7026 RHODE ISLAND DRIVE
City JACKSONVILLE
State FL
ZIP 32209
Accounting period End 12
Primary contact name JACQUELINE POOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKENYA FLOWERS
PRESIDENT
7026
JACKSONVILLE FL 32209

Officer/Director/Trustee Two

JASMINE FLOWERS
TREASURER
7026
JACKSONVILLE FL 32209

Officer/Director/Trustee Three

CHARLOTEE BROWN
DIRECTOR
7026
JACKSONVILLE FL 32209

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L50 - Housing Owners, Renters Organizations
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name NIKENYA FLOWERS
Signature Title PRESIDENT
Signature Date 7/1/2020

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